Provider Demographics
NPI:1437587094
Name:SYMON, LAURA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SYMON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:SYMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:201 NW 4TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47708-1350
Mailing Address - Country:US
Mailing Address - Phone:812-454-1564
Mailing Address - Fax:812-704-5822
Practice Address - Street 1:201 NW 4TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1350
Practice Address - Country:US
Practice Address - Phone:812-454-1564
Practice Address - Fax:812-704-5822
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-17
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006688A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical