Provider Demographics
NPI:1447562962
Name:LAURIE FRIEDMAN DONZE, PH.D., P.C.
Entity type:Organization
Organization Name:LAURIE FRIEDMAN DONZE, PH.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:FRIEDMAN
Authorized Official - Last Name:DONZE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-286-1787
Mailing Address - Street 1:784 SHELTON RD
Mailing Address - Street 2:# B
Mailing Address - City:CROWNSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21032-1735
Mailing Address - Country:US
Mailing Address - Phone:443-286-1787
Mailing Address - Fax:410-923-1429
Practice Address - Street 1:784 SHELTON RD
Practice Address - Street 2:# B
Practice Address - City:CROWNSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21032-1735
Practice Address - Country:US
Practice Address - Phone:443-286-1787
Practice Address - Fax:410-923-1429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03396103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty