Laura S Medlin, M.A.
Individual provider Active NPI Marriage & Family Therapist · Elburn, IL
NPI 1306130067 · NPPES record last updated May 30, 2011
Key facts
- NPI
- 1306130067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 208000209 (IL)
- Practice address
- 106 W Pierce St
Elburn, IL 60119-8201 - Phone
- (630) 365-0899
- NPI assigned
- May 30, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208000209 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Rural Psychology | Past | Accepting new patients | |
| Foroutan & Associates SC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 208000209 | IL | Yes |
Addresses
Primary practice location
106 W Pierce St
Elburn, IL 60119-8201
Mailing address
106 W Pierce St
Elburn, IL 60119-8201
Other providers in Elburn, IL
- Lisa Ann Kelly
- Harry F Krauspe
- Tessa Mackenzie Lee
- Kayla E Lehman
- Michael William Mangis
- Erika Kristin Mennerick
- Michael Schuiling DDS PLLC
- Miranda Lyn Middona
- Marion Jean Miller
- Mind Matters PLLC
All providers in Elburn, IL · Marriage & Family Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2011. 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.