Laura S. Pettifor, ED.S.

NPI #1154142347 in Middlebury, Indiana

Provider Information

NPI Number: 1154142347
Entity Type: Individual
Name: Laura S. Pettifor, ED.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: ED.S.
Enumeration Date: Oct 21, 2024
Last Updated: Oct 21, 2024

Practice Location

Address: 56647 NORTHRIDGE DR
City: Middlebury
State: Indiana
ZIP Code: 46540-9119
Phone: (574) 533-3151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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