Individual
LAURA CASEY BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8701 MENTOR AVE, MENTOR, OH 44060-6103
(440) 266-0770
(440) 266-0257
Mailing address
8701 MENTOR AVE, MENTOR, OH 44060-6103
(440) 266-0770
(440) 266-0257
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E0003397SUPV
OH
103T00000X
Psychologist
Primary
6523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2927257
—
OH
Enumeration date
02/16/2009
Last updated
05/15/2013
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