Provider Demographics
NPI:1336551381
Name:VALOIS, LAURA (PSYD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:VALOIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:ZAKRESKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:400 BALD HILL RD STE 530
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-6111
Mailing Address - Country:US
Mailing Address - Phone:401-349-3131
Mailing Address - Fax:401-921-5109
Practice Address - Street 1:400 BALD HILL RD STE 530
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-6111
Practice Address - Country:US
Practice Address - Phone:401-349-3131
Practice Address - Fax:401-921-5109
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
RIPS01619103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist