Provider Demographics
NPI:1417011982
Name:GETTY, LAURA (MA)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:GETTY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-3257
Mailing Address - Country:US
Mailing Address - Phone:631-673-0556
Mailing Address - Fax:
Practice Address - Street 1:73 E 21ST ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3257
Practice Address - Country:US
Practice Address - Phone:631-673-0556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health