Provider Demographics
NPI:1508391061
Name:LAUBER, LINDA BETH (MS IN EDUCATION,CBIS)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:BETH
Last Name:LAUBER
Suffix:
Gender:F
Credentials:MS IN EDUCATION,CBIS
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:BETH
Other - Last Name:SHAPIRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11 MEADOWLARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047
Mailing Address - Country:US
Mailing Address - Phone:518-618-7829
Mailing Address - Fax:
Practice Address - Street 1:1477 S SCHODACK RD
Practice Address - Street 2:
Practice Address - City:CASTLETON
Practice Address - State:NY
Practice Address - Zip Code:12033-9644
Practice Address - Country:US
Practice Address - Phone:518-477-7103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator