Laura Leacie Wilson Waters
Psychologist Rehabilitation Counselor
902 S Myrtle Ave
Monrovia
, California 91016-3427
Laura Leacie Wilson Waters
Psychologist Rehabilitation Counselor
902 S Myrtle Ave
Monrovia
, California 91016-3427
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About
Features
Specialties
- Psychologist
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Laura Leacie Wilson Waters
- 902 S Myrtle Ave
- Monrovia, CA
- Zip : 91016-3427
- Phone :
Second Address
- Laura Leacie Wilson Waters
- 902 S Myrtle Ave
- Monrovia, CA
- Zip : 91016-3427
- Phone : (626) 357-3258
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 31585 | CA |
| Y | 103T00000X | Psychologist | 31585 | CA |
| N | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1013322965 |
|---|---|
| Provider Name | Laura Leacie Wilson Waters |
| First Address | Monrovia, CA 91016-3427 |
| Second Address | Monrovia, CA 91016-3427 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2014 |
| Last Update Date | 27/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.