Provider Demographics
NPI:1235169913
Name:ASBELL, LAURA (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:ASBELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17080 W LAURA LN
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-6767
Mailing Address - Country:US
Mailing Address - Phone:509-534-1731
Mailing Address - Fax:509-535-7073
Practice Address - Street 1:140 S ARTHUR ST
Practice Address - Street 2:SUITE 690
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-2260
Practice Address - Country:US
Practice Address - Phone:509-534-1731
Practice Address - Fax:509-535-7073
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00001310103T00000X
IDPSY-279103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA304179Medicare ID - Type Unspecified