Provider Demographics
NPI:1164566337
Name:RINALDI, LAURA (MS, MFT)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:RINALDI
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PARK LN
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1731
Mailing Address - Country:US
Mailing Address - Phone:617-965-9036
Mailing Address - Fax:617-965-9399
Practice Address - Street 1:44 PARK LN
Practice Address - Street 2:
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-1731
Practice Address - Country:US
Practice Address - Phone:617-965-9036
Practice Address - Fax:617-965-9399
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMH 1033MF106H00000X
CAMFC 30701106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist