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Individual
DR. LAURA L MATHEWS
Active
Individual
DR. LAURA L MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
20041985
IN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3235
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200804750
—
IN
Enumeration date
06/15/2006
Last updated
06/16/2015
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