Provider Demographics
NPI:1184320830
Name:CAIN-SHREINER, LAURA
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:CAIN-SHREINER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:CAIN
Other - Last Name:RUEBLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2240 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1575
Mailing Address - Country:US
Mailing Address - Phone:563-209-2790
Mailing Address - Fax:
Practice Address - Street 1:2240 9TH ST
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1575
Practice Address - Country:US
Practice Address - Phone:563-209-2790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA113197101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health