Provider Demographics
NPI:1073238150
Name:URIE, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:URIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 ALBIN RD
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-3703
Mailing Address - Country:US
Mailing Address - Phone:781-752-9119
Mailing Address - Fax:
Practice Address - Street 1:511 FIRST NEW HAMPSHIRE TPKE
Practice Address - Street 2:
Practice Address - City:NORTHWOOD
Practice Address - State:NH
Practice Address - Zip Code:03261-3411
Practice Address - Country:US
Practice Address - Phone:603-942-5488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool