Provider Demographics
NPI:1407276207
Name:BEREN, LAURA MCFARLAND (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MCFARLAND
Last Name:BEREN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 VIOLET AVE
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4622
Mailing Address - Country:US
Mailing Address - Phone:516-294-1014
Mailing Address - Fax:
Practice Address - Street 1:27 VIOLET AVE
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4622
Practice Address - Country:US
Practice Address - Phone:516-294-1014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0205031103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist