Provider Demographics
NPI:1205821105
Name:STUDER, LAURENCE W (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LAURENCE
Middle Name:W
Last Name:STUDER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 47 BOX 584
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09470
Mailing Address - Country:GB
Mailing Address - Phone:0148-041-7131
Mailing Address - Fax:
Practice Address - Street 1:RAF UPWOOD
Practice Address - Street 2:UNIT 5610 BOX 223
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09470-5610
Practice Address - Country:GB
Practice Address - Phone:0148-781-1039
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC61751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical