Individual
LAURA LEE MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4842
(315) 464-7564
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4584
(315) 464-2096
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
016432
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02832259
—
NY
Enumeration date
12/06/2006
Last updated
01/22/2009
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