Healthcare Provider Details

I. General information

NPI: 1952257032
Provider Name (Legal Business Name): LAURA ECHOLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 E GEER ST
DURHAM NC
27704-3717
US

IV. Provider business mailing address

1705 MEDALLION DR
DURHAM NC
27704-5090
US

V. Phone/Fax

Practice location:
  • Phone: 919-560-2528
  • Fax:
Mailing address:
  • Phone: 919-599-6235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number707338
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: