Provider Demographics
NPI:1013734839
Name:YTURRIA-CALK, LAURA P (LCSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:P
Last Name:YTURRIA-CALK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4133 WOOD RIVER DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5640
Mailing Address - Country:US
Mailing Address - Phone:361-232-2251
Mailing Address - Fax:
Practice Address - Street 1:4133 WOOD RIVER DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-5640
Practice Address - Country:US
Practice Address - Phone:361-232-2251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX236911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical