MEDICARE: LAURA LEIGH POST MD, PHD, JD

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
1	2084P0800X	Psychiatry Physician	G64320	CA
2	2084P0800X	Psychiatry Physician	M1382	GU
3	2084P0800X	Psychiatry Physician	217	MP
4	2084P0800X	Psychiatry Physician	14876	NV
5	2084P0800X	Psychiatry Physician	17087	HI

General Provider Information

NPI Number	:	1952303661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA LEIGH POST MD, PHD, JD

Provider Business Mailing Address
First Line	:	1270 N. MARINE CORPS DRIVE #101
Second Line	:	PMB 889
City	:	TAMUNING
State	:	GU
Zip	:	96913-3223
Country	:	US
Telephone Number	:	671-647-1961
Fax Number	:	671-979-1046

Provider Business Practice Location Address
First Line	:	143 TUN JOAQUIN SANTOS LANE
Second Line	:
City	:	TUMON
State	:	GU
Zip	:	96913-3223
Country	:	US
Telephone Number	:	671-647-1961
Fax Number	:	671-979-1046

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	12/30/2016

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