Provider Demographics
NPI:1417578600
Name:SZCZEPANIAK, LAURA LYNN (MS)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LYNN
Last Name:SZCZEPANIAK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SOUTH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6196
Mailing Address - Country:US
Mailing Address - Phone:413-449-2300
Mailing Address - Fax:
Practice Address - Street 1:2 SOUTH ST FL 3
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6196
Practice Address - Country:US
Practice Address - Phone:413-449-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)