Provider Demographics
NPI:1356740682
Name:DANNER, LAURA NICOLE (LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:NICOLE
Last Name:DANNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:NICOLE
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2045 WESTGATE DRIVE SUITE 304
Mailing Address - Street 2:GATEWAY PROFESSIONAL BUILDING
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017
Mailing Address - Country:US
Mailing Address - Phone:610-865-8177
Mailing Address - Fax:610-865-2764
Practice Address - Street 1:2045 WESTGATE DRIVE SUITE 304
Practice Address - Street 2:GATEWAY PROFESSIONAL BUILDING
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017
Practice Address - Country:US
Practice Address - Phone:610-865-8177
Practice Address - Fax:610-865-2764
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007671101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional