Individual
DR. LAURA E. FORSYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1601 CARMEN DR, STE. 211, CAMARILLO, CA 93010-3105
(805) 795-2131
(805) 322-2103
Mailing address
1601 CARMEN DR, STE. 211, CAMARILLO, CA 93010-3105
(805) 795-2131
(805) 322-2103
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY 17938
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11701672
CAQH
CA
01
—
OPL 179380
BLUE SHIELD
CA
Enumeration date
12/07/2005
Last updated
01/23/2013
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