National Provider Identifier

Laura Bannon

Laura Bannon is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 335-7360.

NPI 1083019509Buffalo, NYClinical Social Worker

Profile Overview

NPI
1083019509
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 27, 2014
Last Updated
October 27, 2014

Practice Location

  • 1325 Main St
  • Buffalo, NY 14209-1988

Phone: (716) 335-7360

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1083019509
Entity Type
Individual
Last Name
Bannon
First Name
Laura
Mailing Street Address
1325 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-1988
Mailing Country
US
Mailing Phone
(716) 335-7360
Practice Street Address
1325 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-1988
Practice Country
US
Practice Phone
(716) 335-7360
Enumeration Date
October 27, 2014
Last Updated
October 27, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)