Provider Demographics
NPI:1598345852
Name:STRINGHAM, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:STRINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 E SHADOW GATE CIR
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84094-5771
Mailing Address - Country:US
Mailing Address - Phone:801-673-9075
Mailing Address - Fax:
Practice Address - Street 1:1232 E SHADOW GATE CIR
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-5771
Practice Address - Country:US
Practice Address - Phone:801-673-9075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist