Dr Laura D Ebling, PHD is a
Psychologist - Clinical based in Canaan, Connecticut. Dr Laura D Ebling is licensed to practice in Connecticut (license number 001833) and her current practice location is
95 Main Street, Canaan, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 824-1350.
NPI number for Dr Laura D Ebling is 1992808521 and her current mailing address is Po Box 653, Canaan, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992808521.
Healthcare Provider's Profile
| Full Name | Dr Laura D Ebling |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 95 Main Street, Canaan, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992808521
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 07/14/2010
Medical Identifiers
Medical identifiers for Dr Laura D Ebling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992808521 | NPI | - | NPPES |
| 00415456400 | Medicaid | CT | |
| 0502421 | Other | MA | MASS HEALTH |
| W04778 | Other | MA | MEDICARE B |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 001833 (Connecticut) | Primary |
| 103TC0700X | Psychologist - Clinical | 5062 (Massachusetts) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Laura D Ebling is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Laura D Ebling, PHD
Po Box 653,
Canaan, CT 06018-0653
Ph: (860) 824-1350 | Dr Laura D Ebling, PHD
95 Main Street,
Canaan, CT 06018-0653
Ph: (860) 824-1350 |
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