Basic Information
| Provider Information | |||||||||
| NPI: | 1013145333 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOYT | ||||||||
| FirstName: | LAURIE | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW.,LPN | ||||||||
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| Mailing Information | |||||||||
| Address1: | POMPERAUGE OFFICE PARK, BLD 2 | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | SOUTHBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06488 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032671015 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3550 AIRPORT WAY STE 4 | ||||||||
| Address2: | |||||||||
| City: | FAIRBANKS | ||||||||
| State: | AK | ||||||||
| PostalCode: | 997094772 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9074792331 | ||||||||
| FaxNumber: | 8666340164 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2009 | ||||||||
| LastUpdateDate: | 04/29/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 006987 | CT | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.