Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 015510 | NY |
N | 103T00000X | Psychologist | 015510 | NY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 015510 | NY |
N | 103G00000X | Clinical Psychologist | 015510 | NY |
N | 103TC0700X | Clinical Psychologist | 015510 | NY |
NPI | 1164459475 |
---|---|
Provider Name | Dr. Laura Silver Mcguire |
First Address | Port Washington, NY 11050-2514 |
Second Address | Roslyn Heights, NY 11577-2047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 08/07/2007 |