Individual
LAURA TOORAN MIRHOSEINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(414) 293-9606
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2509-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39145800
—
WI
Enumeration date
08/16/2005
Last updated
07/10/2025
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