Provider Demographics
NPI:1861571283
Name:PLATT, LAURA J (MSW, PHD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:J
Last Name:PLATT
Suffix:
Gender:F
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 E HARTSDALE AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-2806
Mailing Address - Country:US
Mailing Address - Phone:914-686-6317
Mailing Address - Fax:914-686-6317
Practice Address - Street 1:80 E HARTSDALE AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2806
Practice Address - Country:US
Practice Address - Phone:914-686-6317
Practice Address - Fax:914-686-6317
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR021498-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist