Laura Emily De La Torre Bue in Somerville - Clinical
Laura Emily De La Torre Bue - NPI 1760464085
Laura Emily De La Torre Bue is a Clinical in Somerville, Massachusetts. Laura Emily De La Torre Bue practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Emily De La Torre Bue is 1760464085. The last update date is 2007-07-09.
Laura Emily De La Torre Bue's current location address is 21 Spring Hill Ter, Somerville, Massachusetts. You can contact this provider via phone number 6177768679 and fax number 6176231234. The mailing address for Laura Emily De La Torre Bue is 21 Spring Hill Ter, Somerville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Emily De La Torre Bue |
|---|---|
| Address | 21 Spring Hill Ter, Somerville, Massachusetts |
| Phone Number | 6177768679 |
| Fax Number | 6176231234 |
| Sole Proprietor | X |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1760464085 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 21 Spring Hill Ter |
|---|---|
| City | Somerville |
| State | Massachusetts (MA) |
| Post Code | 21431514 |
| Phone Number | 6177768679 |
| Fax Number | 6176231234 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6112 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5781235 | MA | AETNA | |
| V352G | NY | EMPIRE BLUE CROSS BLUE SH |
Post Comment/ Review Below
What is the Laura Emily De La Torre Bue's 1760464085?
The Laura Emily De La Torre Bue's NPI (National Provider Identifier) Number is 1760464085. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Laura Emily De La Torre Bue?
The Laura Emily De La Torre Bue is situated at 21 Spring Hill Ter, in the city of Somerville, state of MA, with the zip code 21431514.
What is the area of specialization for Laura Emily De La Torre Bue, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Laura Emily De La Torre Bue is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Laura Emily De La Torre Bue receive its 1760464085 assignment from the Centers for Medicare & Medicaid Services?
The Laura Emily De La Torre Bue was assigned its 1760464085 by the Centers for Medicare & Medicaid Services on 2005-11-14.
As of what date were the details related to Laura Emily De La Torre Bue most recently updated or revised?
The information pertaining to Laura Emily De La Torre Bue, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.