Provider Demographics
NPI:1174972731
Name:THOMAS, LAURA (MFT)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 FARNSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06057-4116
Mailing Address - Country:US
Mailing Address - Phone:869-689-3515
Mailing Address - Fax:
Practice Address - Street 1:12 FARNSWORTH DR
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06057-4116
Practice Address - Country:US
Practice Address - Phone:869-689-3515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-05
Last Update Date:2016-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist