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NPI Code Detail

MEDICARE: DR. ROBERT-MAURICE LAURENT PH.D.

MEDICARE: DR. ROBERT-MAURICE LAURENT PH.D.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1306912993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT-MAURICE LAURENT PH.D.
Provider Business Mailing Address
First Line : 3590 NEWLAND RD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92056-4924
Country : US
Telephone Number : 760-941-5909
Fax Number : 760-941-5909
Provider Business Practice Location Address
First Line : 321 CASSIDY ST
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-5314
Country : US
Telephone Number : 760-721-2171
Fax Number : 760-721-2171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 07/08/2007

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