Provider Demographics
NPI:1609157148
Name:LAU, KATHERINE SOONG LING (MSC)
Entity Type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:SOONG LING
Last Name:LAU
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 LAKESHORE DRIVE
Mailing Address - Street 2:DEPT. OF PSYCHOLOGY
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70148
Mailing Address - Country:US
Mailing Address - Phone:504-906-1720
Mailing Address - Fax:504-280-6049
Practice Address - Street 1:2001 LAKESHORE DRIVE
Practice Address - Street 2:DEPT. OF PSYCHOLOGY
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70148
Practice Address - Country:US
Practice Address - Phone:504-906-1720
Practice Address - Fax:504-280-6049
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program