Laura Jane Burley

Individual provider Active NPI School Psychologist · Truckee, CA

NPI 1861913618 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1861913618
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
3634 (CA)
Practice address
11899 Frond Rd
Truckee, CA 96161-2153
Phone
(406) 270-4890
NPI assigned
Jul 2, 2017
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 3634 CA Yes

Addresses

Primary practice location

11899 Frond Rd
Truckee, CA 96161-2153

Mailing address

11899 Frond Rd
Truckee, CA 96161-2153
Phone (406) 270-4890

Other providers in Truckee, CA

All providers in Truckee, CA · School Psychologist in California

Sources for this page

Verify at the official NPI Registry.