Individual
DR. LAURA CATHERINE BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1503 SANTA ROSA RD, SUITE 105, RICHMOND, VA 23229-5105
(804) 673-0010
(804) 673-0100
Mailing address
2413 AUGER PL, MIDLOTHIAN, VA 23113-2200
(804) 379-9120
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0810003988
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109263FC
PREFERRED CARE
NY
01
—
7481378
AETNA
NY
01
—
P010014020
BLUE CHOICE
NY
01
—
P030014020
BLUE CROSS BLUE SHIELD
NY
Enumeration date
09/22/2006
Last updated
07/25/2009
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