Provider Demographics
NPI:1962617381
Name:GATNY, LAURA VALENTINA (MA, LLP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:VALENTINA
Last Name:GATNY
Suffix:
Gender:F
Credentials:MA, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 ZAHER DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-2056
Mailing Address - Country:US
Mailing Address - Phone:586-322-2929
Mailing Address - Fax:
Practice Address - Street 1:3221 ZAHER DR
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-2056
Practice Address - Country:US
Practice Address - Phone:586-322-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013337103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical