Healthcare Provider Details

I. General information

NPI: 1720298854
Provider Name (Legal Business Name): LAURA E HARRINGTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA E HARRINGTON-ZAUTER M.D.

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 N 7TH ST STE., 300
PHOENIX AZ
85006-2754
US

IV. Provider business mailing address

1331 N 7TH ST STE., 300
PHOENIX AZ
85006-2754
US

V. Phone/Fax

Practice location:
  • Phone: 602-253-6655
  • Fax: 602-253-7025
Mailing address:
  • Phone: 602-253-6655
  • Fax: 602-253-7025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number24671
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: