Laura Lea Perez, ED.S.
Individual provider Active NPI School Psychologist · Wilson, WY
NPI 1205197043 · NPPES record last updated Jun 7, 2012
Key facts
- NPI
- 1205197043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- SCHOOL PSYCH K-12 (WY)
- Practice address
- 3850 North Wilderness Dr.
Wilson, WY 83014 - Phone
- (307) 733-2810
- Fax
- (307) 733-8462
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SCHOOL PSYCH K-12 | WY | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SCHOOL PSYCH K-12 | WY | Yes |
Addresses
Primary practice location
3850 North Wilderness Dr.
Wilson, WY 83014
Mailing address
PO Box 240
Wilson, WY 83014-0240
Phone (307) 733-8210
Other providers in Wilson, WY
- Madison August Oak
- Jill Oja-Johnson
- Cisco John Oldani
- Elaina Elizabeth Oliver
- Peak Physical Therapy Inc
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- Red Top Meadows
- Region V Board of Cooperative Educational Services
- Region V Boces
- Region V Boces
All providers in Wilson, WY · School Psychologist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.