Individual
LAURA THEODOR SHIBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10 LANGLEY RD, STE 300, NEWTON, MA 02459-1972
(800) 370-3651
(860) 510-0020
Mailing address
20 RESEARCH PKWY, SUITE C, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
7026
MA
103TC0700X
Clinical Psychologist
009601
NY
103TC0700X
Clinical Psychologist
Primary
7026
MA
Other
Enumeration date
05/13/2006
Last updated
12/15/2009
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