Provider Demographics
NPI:1821838566
Name:HARLOW, LAURA L (MA PSYCHOLOGY)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:L
Last Name:HARLOW
Suffix:
Gender:F
Credentials:MA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 SANDOWN PL
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2429
Mailing Address - Country:US
Mailing Address - Phone:951-533-3180
Mailing Address - Fax:
Practice Address - Street 1:5959 SANDOWN PL
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-2429
Practice Address - Country:US
Practice Address - Phone:951-533-3180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health