Individual
LAURA MCMASTER DEPAOLA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
615 BARLOW ST, AMERICUS, GA 31709-4206
(229) 928-9887
(229) 928-9461
Mailing address
615 BARLOW STREET, AMERICUS, GA 31709
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001831
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00614886D
—
GA
Enumeration date
03/23/2006
Last updated
07/08/2007
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