Provider Demographics
NPI:1598011223
Name:LAFF, NATALIE MARIE (MSED)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:MARIE
Last Name:LAFF
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:MARIE
Other - Last Name:LAFF-HEIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED
Mailing Address - Street 1:895 BERKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:WINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:12594
Mailing Address - Country:US
Mailing Address - Phone:845-832-7081
Mailing Address - Fax:
Practice Address - Street 1:895 BERKSHIRE RD
Practice Address - Street 2:
Practice Address - City:WINGDALE
Practice Address - State:NY
Practice Address - Zip Code:12594-1209
Practice Address - Country:US
Practice Address - Phone:845-832-7081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY863839981103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst