Laurence L. Pass, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

60589535 Issued in WA

Practice address

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302

Phone

(850) 883-8374

NPI assigned

May 15, 2014

Last updated

May 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Laurence L. Hayes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1730590480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "city": "DAVIS-MONTHAN AFB",
            "state": "AZ",
            "postal_code": "857074405",
            "telephone_number": "520-228-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD STE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 S Alamo Ave",
            "address_purpose": "LOCATION",
            "city": "Davis-Monthan AFB",
            "state": "AZ",
            "postal_code": "857074405",
            "country_code": "US",
            "telephone_number": "520-228-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASS",
        "first_name": "LAURENCE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60589535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURENCE",
            "last_name": "HAYES",
            "middle_name": "L.",
            "credential": "M.S., M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Cason Parham
• Aubrey Gray Parker, MD
• Courtney Parker, PHARMD
• Frank Richard Pascarelli, OTR/L, BCMH, NMSE
• Amber Nicole Paski, MD
• Benjamin Patrick, PMHNP
• Paul L Pearman Jr., PT, DPT, OCS
• Daniel Pehrson
• Melissa Leigh Penny, DO
• Cody John Percival, DDS

• Clinical Psychologist in Eglin AFB, FL
• Providers in Eglin AFB, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; 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.