Laura Roel Skinner, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2435 Issued in NC

Practice address

20901 Torrence Chapel Rd
Suite 101
Cornelius, NC 28031-4301

Phone

(980) 222-4999

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1497828982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6186 MOUNTAIN VINE AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280819049",
            "telephone_number": "980-222-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20901 TORRENCE CHAPEL RD",
            "address_2": "SUITE 101",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314301",
            "telephone_number": "980-222-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "LAURA",
        "middle_name": "ROEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0400H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thea Oculato Silva de Souza, PH.D.
• Andrew Link Simpson, LPCA, NCC
• Roy Kelley Sinclair, LPCA
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• Michelle Rene Skaggs
• Daniel Derek Skotzko, D.D.S.
• Kellye Hutton Slaggert
• Cember Lynn Slavens, BS
• Howard Ryan Slutzky, PSYD
• Donna Alicia Smith-Hogan, PH.D.

• Psychologist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.