Provider Demographics
NPI:1700576899
Name:KEMPER, LAURIE (PSY D)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:KEMPER
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 N ORLANDO AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5521
Mailing Address - Country:US
Mailing Address - Phone:407-790-4101
Mailing Address - Fax:407-277-4400
Practice Address - Street 1:253 N ORLANDO AVE STE 202
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5521
Practice Address - Country:US
Practice Address - Phone:407-790-4101
Practice Address - Fax:407-277-4400
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling