Provider Information for 1427502962
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
LAURA LEATHERMAN LCSW
Other Names:Former Name:LAURA SWEENEY LCSWSex: Female
NPI: 1427502962
Last Updated: 2017-02-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1427502962 | ||||||||
| Enumeration Date | 2016-08-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 601 CHILDRENS LN NORFOLK, VA 23507-1910 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 601 CHILDRENS LN NORFOLK, VA 23507-1910 United States Phone: 757-668-8578 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|