MEDICARE: LAURA ECHOLS

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	103TS0200X	School Psychologist	707338	NC

General Provider Information

NPI Number	:	1952257032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA ECHOLS

Provider Business Mailing Address
First Line	:	1705 MEDALLION DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-5090
Country	:	US
Telephone Number	:	919-599-6235
Fax Number	:

Provider Business Practice Location Address
First Line	:	2415 E GEER ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-3717
Country	:	US
Telephone Number	:	919-560-2528
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ LAURA ECHOLS ” Practice Location

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