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NPI Code Detail

MEDICARE: DR. LAURA LEE EATON PH.D.

MEDICARE: DR. LAURA LEE EATON 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
1103TA0700XAdult Development & Aging Psychologist1558AL
2103TC0700XClinical Psychologist1558AL

General Provider Information

NPI Number : 1437390234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA LEE EATON PH.D.
Provider Business Mailing Address
First Line : 2509 RESEARCH BLVD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-8108
Country : US
Telephone Number : 970-224-1550
Fax Number :
Provider Business Practice Location Address
First Line : 2509 RESEARCH BLVD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-8108
Country : US
Telephone Number : 970-224-1550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2009
Last Update Date : 04/13/2026

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