Healthcare Provider Details

I. General information

NPI: 1629907324
Provider Name (Legal Business Name): LAURA SPAULDING LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 WALKER LN
WALLINGFORD PA
19086-6128
US

IV. Provider business mailing address

104 WALKER LN
WALLINGFORD PA
19086-6128
US

V. Phone/Fax

Practice location:
  • Phone: 610-742-6787
  • Fax:
Mailing address:
  • Phone: 484-441-3108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC014347
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: