Provider Demographics
NPI:1740070507
Name:MORRISSEY, LAURA J (MED EDD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:MORRISSEY
Suffix:
Gender:
Credentials:MED EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18643-2149
Mailing Address - Country:US
Mailing Address - Phone:570-881-1657
Mailing Address - Fax:
Practice Address - Street 1:512 4TH ST
Practice Address - Street 2:
Practice Address - City:WEST PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18643-2149
Practice Address - Country:US
Practice Address - Phone:570-881-1657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency