Healthcare Provider Details

I. General information

NPI: 1487963351
Provider Name (Legal Business Name): LAURA SANTNER LMSW, CPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8620 18TH AVE
BROOKLYN NY
11214-3702
US

IV. Provider business mailing address

65 VALLEY RD
KATONAH NY
10536-1724
US

V. Phone/Fax

Practice location:
  • Phone: 718-256-8818
  • Fax:
Mailing address:
  • Phone: 914-417-7257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102X00000X
TaxonomyPoetry Therapist
License NumberC2009-LS
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number074417-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: