Doctor Name: | LAURA BRYCE GREENHAW |
NPI Number: | 1023213410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD |
License Number: | 006374 |
Business Practice Address: | 6391 Roosevelt Highway Warm Springs, GA - 31830 |
Business Phone Number: | 2294440825 |
Business Fax Number: | |
Mailing Address: | 695 Midtown Court, AUBURN |
State: | AL |
Postal Code: | 36830 |
Phone Number: | 2294440825 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 006374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |