Provider Demographics
NPI:1417160615
Name:MONCRIEF, LAURA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:MONCRIEF
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 1:7155 PEARL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4945
Mailing Address - Country:US
Mailing Address - Phone:330-391-9683
Mailing Address - Fax:
Practice Address - Street 1:7155 PEARL RD STE 102
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-4945
Practice Address - Country:US
Practice Address - Phone:330-391-9683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2023-05-23
Deactivation Date:2021-04-12
Deactivation Code:
Reactivation Date:2021-05-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist