Provider Demographics
NPI:1699891481
Name:SCHENKMAN, LAURA JEAN (M ED)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:JEAN
Last Name:SCHENKMAN
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 WARD ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-1560
Mailing Address - Country:US
Mailing Address - Phone:919-560-5600
Mailing Address - Fax:919-560-3018
Practice Address - Street 1:DURHAM CHILDREN'S DEVELOPMENTAL SERVICES AGENCY
Practice Address - Street 2:115 MARKET STREET
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3221
Practice Address - Country:US
Practice Address - Phone:919-560-5600
Practice Address - Fax:919-560-3018
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist