Individual
DR. LAURA ROEL SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
20901 TORRENCE CHAPEL RD, SUITE 101, CORNELIUS, NC 28031-4301
(980) 222-4999
Mailing address
6186 MOUNTAIN VINE AVE, KANNAPOLIS, NC 28081-9049
(980) 222-4999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2435
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400H
BCBS PROVIDER #
NC
Enumeration date
11/15/2006
Last updated
01/26/2016
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