MEDICARE: LAURIE SCHOLL

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
1	1041C0700X	Clinical Social Worker	C002571	NC

General Provider Information

NPI Number	:	1780696880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE SCHOLL

Provider Business Mailing Address
First Line	:	2616 BRADFORD GROVE PL
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-9413
Country	:	US
Telephone Number	:	919-212-8381
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 SUNNYBROOK RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-1808
Country	:	US
Telephone Number	:	919-212-8381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/08/2007

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Directions to “ LAURIE SCHOLL ” Practice Location

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