Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1911622639 | CT |
NPI | 1063014629 |
---|---|
Provider Name | Mrs. Laura Allison Zurell |
First Address | Columbia, CT 06237-1410 |
Second Address | Columbia, CT 06237-1410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2020 |
Last Update Date | 09/11/2020 |