Basic Information
Provider Information
NPI: 1225345713
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCARTHUR
FirstName: LAURA
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11059 E. BETHANY DRIVE
Address2: STE 200
City: AURORA
State: CO
PostalCode: 800149811
CountryCode: US
TelephoneNumber: 3036172300
FaxNumber:  
Practice Location
Address1: 1504 GALENA STREET
Address2:  
City: AURORA
State: CO
PostalCode: 80010
CountryCode: US
TelephoneNumber: 3036172300
FaxNumber: 4152063142
Other Information
ProviderEnumerationDate: 09/07/2010
LastUpdateDate: 10/09/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC2200XPSY.0003899CON Behavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
103T00000XPSY.0003899COY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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