Dr Laura D Ebling, PHD in Canaan, CT - Psychologist

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.

Contact Information

	Dr Laura D Ebling, PHD
	95 Main Street, Canaan, CT 06018-0653
	(860) 824-1350
	(413) 229-3634

Healthcare Provider's Profile

Full Name	Dr Laura D Ebling
Gender	Female
Speciality	Psychologist - Clinical
Location	95 Main Street, Canaan, Connecticut
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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Dr Laura D Ebling, PHD - Psychologist in Canaan, CT