Provider Demographics
NPI:1548806805
Name:SEPE, LAURIE ANN (BSL)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:ANN
Last Name:SEPE
Suffix:
Gender:F
Credentials:BSL
Other - Prefix:MRS
Other - First Name:LAURIE
Other - Middle Name:ANN
Other - Last Name:SEPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSL
Mailing Address - Street 1:514 SOUTHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6865
Mailing Address - Country:US
Mailing Address - Phone:724-420-6074
Mailing Address - Fax:
Practice Address - Street 1:531 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3016
Practice Address - Country:US
Practice Address - Phone:724-600-0120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst