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NPI Code Detail

MEDICARE: DR. LAURA LEE HOSKINS PSY.D.

MEDICARE:  DR. LAURA LEE HOSKINS  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103G00000XClinical Neuropsychologist9432MA
2103TC0700XClinical Psychologist68 018375NY
3103G00000XClinical Neuropsychologist68 018375NY
4103TC0700XClinical Psychologist9432MA
5103G00000XClinical Neuropsychologist3768GA
6103T00000XPsychologistPSY003768GA

General Provider Information

NPI Number : 1700113883
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA LEE HOSKINS PSY.D.
Provider Business Mailing Address
First Line : 2304 HOSEA L WILLIAMS DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30317-2750
Country : US
Telephone Number : 404-981-5354
Fax Number :
Provider Business Practice Location Address
First Line : 1123 CLAIRMONT RD
Second Line :
City : DECATUR
State : GA
Zip : 30030-1228
Country : US
Telephone Number : 404-981-5354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2009
Last Update Date : 09/05/2025

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