Provider Demographics
NPI:1750851887
Name:ADAMS, LAURA ANNETTE (PSYD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANNETTE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ANNETTE
Other - Last Name:TRUELOVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1860 82ND AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-6998
Mailing Address - Country:US
Mailing Address - Phone:772-365-4934
Mailing Address - Fax:772-362-6901
Practice Address - Street 1:1860 82ND AVE STE 201
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32966-6998
Practice Address - Country:US
Practice Address - Phone:772-365-4934
Practice Address - Fax:772-362-6901
Is Sole Proprietor?:No
Enumeration Date:2018-12-02
Last Update Date:2023-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10612103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty