Individual
DR. LAURA ELIZABETH REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(402) 232-2273
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY8304
FL
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
39396
TX
Other
Enumeration date
11/27/2007
Last updated
08/08/2023
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