Laura Marie Michelle Kwong

Individual provider Active NPI School Psychologist · Prather, CA

NPI 1700766813 · NPPES record last updated Sep 8, 2025

Key facts

NPI
1700766813
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
210102690 (CA)
Practice address
29143 Auberry Rd
Prather, CA 93651-9757
Phone
(559) 855-3662
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
210102690CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Unified School District Past
since Sep 14, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 210102690 CA Yes

Addresses

Primary practice location

29143 Auberry Rd
Prather, CA 93651-9757

Mailing address

1111 Van Ness Ave
Fresno, CA 93721-2002

Other names

  • Laura Marie Michelle Heeger Former name

Other providers in Prather, CA

All providers in Prather, CA · School Psychologist in California

Sources for this page

Verify at the official NPI Registry.