DR. LAURA BOURN (NPI# 1710411244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710411244 |
| Entity Type | Individual |
| Full Name | DR. LAURA BOURN |
| Other Name | DR. LAURA MCINTIRE |
| Credential | PH.D. |
| Practice Address |
1459 Stuart Engals Blvd Suite 204-a Mount Pleasant SC 29464-3600 |
| Practice Telephone | 8438499913 |
| Mailing Telephone | 8438499913 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4901 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1459 STUART ENGALS BLVD SUITE 204-A |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417317116 | Lowcountry Companions | In Home Supportive Care | 1459 Stuart Engals Blvd, #203, Mount Pleasant, SC 29464-3600 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1881991677 | Pallas M. Mueller | Psychologist | 1261 Calais Dr, Mount Pleasant, SC 29464-4241 | 2011-02-15 |
| 1629253414 | Carole Leigh Campbell Swiecicki | Psychologist | 2834 Tradewind Dr, Mount Pleasant, SC 29466-7983 | 2007-12-31 |
| 1457546855 | Susan Jane Simonian | Psychologist | 857 Coleman Blvd Ste C, Mount Pleasant, SC 29464-4043 | 2007-09-09 |
| 1487799193 | Lisha Kievit | Psychologist | 523 Live Oak Dr, Mount Pleasant, SC 29464-4365 | 2007-02-20 |
| 1245390434 | Andrew Paul Perry | Psychologist | 857 Coleman Blvd Ste B, Mount Pleasant, SC 29464-4043 | 2006-12-11 |
| 1134770001 | Leah Boepple | Psychologist | 871 Lowcountry Blvd, Mount Pleasant, SC 29464-3066 | 2019-09-23 |
| 1922663301 | James Lawrence Carroll | Psychologist | 201 S University Ave, Mount Pleasant, MI 48858-2527 | 2019-05-01 |
| 1578936548 | Erin Passow | Psychologist | 759 Johnnie Dodds Blvd, A, Mount Pleasant, SC 29464-3056 | 2015-11-12 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on DR. LAURA BOURN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.