Laura Jean Havstad (NPI# 1801923396, PAC ID# 4688620354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1801923396 |
| PAC ID by PECOS | 4688620354 |
| Professional Enrollment ID | I20050324001284 |
| Full Name | Laura Jean Havstad |
| Address |
120 Pleasant Hill Ave N Suite 370 Sebastopol CA 95472-3169 |
| Phone Number | 7078231848 |
| Gender | F |
| Credential | CP |
| Graduation Year | 1980 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 120 Pleasant Hill Ave N, Suite 370, Sebastopol, CA 95472-3169 | 7078231848 |
| Street Address |
120 PLEASANT HILL AVE N SUITE 370 |
| City | SEBASTOPOL |
| State | CA |
| Zip | 95472-3169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cori P Herzig | Psychologist, Clinical | 120 Pleasant Hill Ave N, Suite 340, Sebastopol, CA 95472-3168 | |
| Larrie Goldsmith | Chiropractic | 120 Pleasant Hill Ave N, Suite 190, Sebastopol, CA 95472-3166 | |
| Bruce G Hiner | Psychologist, Clinical | 120 Pleasant Hill Ave N, Suite 340, Sebastopol, CA 95472-3168 | |
| Guy R Gullion | Psychiatry | 120 Pleasant Hill Ave N, Suite 340, Sebastopol, CA 95472-3168 | |
| Gordana Potrebic | Clinical Psychologist | 120 Pleasant Hill Ave N, Sebastopol, CA 95472-3168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy A Davidson | Family Practice | 6800 Palm Ave, Suite A, Sebastopol, CA 95472-2446 | |
| Andrew Stephen Wagner | Family Medicine | 819 Longwood Ln, Sebastopol, CA 95472-2734 | |
| Brian P Jacobs | Clinical Social Worker | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| David Perry Molencupp | Chiropractic | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| Barry Lynn Lutz | Optometry | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| Richard S Schechter | Chiropractic | 868 Gravenstein Hwy N, Sebastopol, CA 95472-2810 | |
| Larry A Smith | Podiatry | 1035 Gravenstein Hwy N, Sebastopol, CA 95472-2811 | |
| Norman J Mintz | Optometry | 825 Gravenstein Hwy N, Suite 7, Sebastopol, CA 95472-2844 | |
| Julie Smith | Physical Therapy | 100 Pleasant Hill N, Sebastopol1, CA 95472-3104 | |
| Patricia D Martinez | Physical Therapy | 100 Pleasant Hill N Ave, Sebastopol, CA 95472-3104 | |
| Find all physicians in zip 95472 | |||
| City | SEBASTOPOL |
| Zip Code | 95472 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SEBASTOPOL + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Laura Jean Havstad.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.