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NPI Code Detail

MEDICARE: MRS. LAURIE ANN DENHAM LPCMH

MEDICARE: MRS. LAURIE ANN DENHAM LPCMH
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1023322849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURIE ANN DENHAM LPCMH
Provider Business Mailing Address
First Line : 8 POLLY DRUMMOND HILL RD
Second Line :
City : NEWARK
State : DE
Zip : 19711-5703
Country : US
Telephone Number : 302-738-6859
Fax Number : 302-368-5309
Provider Business Practice Location Address
First Line : 252 CARTER DR
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-5855
Country : US
Telephone Number : 302-738-6859
Fax Number : 302-368-5309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2010
Last Update Date : 08/04/2010

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