Provider Demographics
NPI:1285630418
Name:POSNER, LAURENCE (EDD)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:
Last Name:POSNER
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CROSMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1412
Mailing Address - Country:US
Mailing Address - Phone:978-741-0883
Mailing Address - Fax:978-741-8982
Practice Address - Street 1:70 WASHINGTON ST
Practice Address - Street 2:SUITE 316
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3518
Practice Address - Country:US
Practice Address - Phone:978-741-0883
Practice Address - Fax:978-741-8982
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3036103TC0700X, 103TC1900X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA69200OtherCIGNA BEHAVIORAL
MA0518921Medicaid
MAPO W03090OtherBLUE SHIELD OF MA
MA003036OtherTUFTS HEALTH PLAN
MA042744033-01OtherPACIFICARE
MAPO W03090Medicare ID - Type Unspecified