Provider Demographics
NPI:1992842744
Name:LAFFREY, NICHOLAS SHAWN
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:SHAWN
Last Name:LAFFREY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:MONESSEN
Mailing Address - State:PA
Mailing Address - Zip Code:15062-1343
Mailing Address - Country:US
Mailing Address - Phone:412-352-8204
Mailing Address - Fax:
Practice Address - Street 1:427 SCOTT AVE
Practice Address - Street 2:
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062-1343
Practice Address - Country:US
Practice Address - Phone:412-352-8204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker