Individual
DR. LAURA RENTERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
14631 SW MILLIKAN WAY, BEAVERTON, OR 97003-2999
(971) 330-7352
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2686
OR
103G00000X
Clinical Neuropsychologist
71007292
IL
103TB0200X
Cognitive & Behavioral Psychologist
71007292
IL
103TC0700X
Clinical Psychologist
71007292
IL
103TF0200X
Forensic Psychologist
71007292
IL
103TH0004X
Health Psychologist
71007292
IL
Other
Enumeration date
05/23/2007
Last updated
10/21/2016
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