Individual
DR. LAURA MICHELLE FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3294 VAN AKEN BLVD, SHAKER HEIGHTS, OH 44120-3508
(216) 647-9382
Mailing address
3294 VAN AKEN BLVD, SHAKER HEIGHTS, OH 44120-3508
(216) 647-9382
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.08254
OH
Other
Enumeration date
02/15/2019
Last updated
01/14/2022
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