Provider Demographics
NPI:1366760050
Name:KAUFFMAN, LAURA COMPIAN (PHD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:COMPIAN
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1180 SAN CARLOS AVE #957
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070
Mailing Address - Country:US
Mailing Address - Phone:650-763-8583
Mailing Address - Fax:650-763-8583
Practice Address - Street 1:1313 LAUREL ST, STE 224
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070
Practice Address - Country:US
Practice Address - Phone:650-763-8583
Practice Address - Fax:650-763-8583
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23071103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling