# DR. LAURA S MIDDLETON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073581781
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 071007242 | IL | — |
| 103TC0700X | Clinical Psychologist | PYT0107 | MO | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | P.6997 | OH | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PY00003686 | WA | — |
| 103TH0004X | Health Psychologist | PY00003686 | WA | — |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 10/15/2023