Laura S Pettifor, EDS is a
Psychologist - School based in Middlebury, Indiana. Laura S Pettifor is licensed to practice in Indiana (license number 1210541) and her current practice location is
56647 Northridge Dr, Middlebury, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 533-3151.
NPI number for Laura S Pettifor is 1154142347 and her current mailing address is 56647 Northridge Dr, Middlebury, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154142347.
Healthcare Provider's Profile
Full Name | Laura S Pettifor |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 56647 Northridge Dr, Middlebury, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154142347
- Provider Enumeration Date: 10/21/2024
- Last Update Date: 10/21/2024
Medical Identifiers
Medical identifiers for Laura S Pettifor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154142347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 1210541 (Indiana) | Primary |
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. Laura S Pettifor 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 |
Laura S Pettifor, EDS 56647 Northridge Dr, Middlebury, IN 46540-9119 Ph: (574) 533-3151 | Laura S Pettifor, EDS 56647 Northridge Dr, Middlebury, IN 46540-9119 Ph: (574) 533-3151 |
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