Provider Demographics
NPI:1649469982
Name:NABORS, LAURA ANNE (PHD, ABPP)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANNE
Last Name:NABORS
Suffix:
Gender:F
Credentials:PHD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4450 CARVER WOODS DRIVE
Mailing Address - Street 2:BLUE ASH PSYCHOLOGY CENTER
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244
Mailing Address - Country:US
Mailing Address - Phone:513-984-9940
Mailing Address - Fax:
Practice Address - Street 1:4450 CARVER WOODS DRIVE
Practice Address - Street 2:BLUE ASH PSYCHOLOGY CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45244
Practice Address - Country:US
Practice Address - Phone:513-984-9940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5661103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent