Doctor Name: | LAURA-LEE REID DOLL |
NPI Number: | 1023346970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SP16548 |
License Number: | SP16548 |
Business Practice Address: | 1911 So. Commercenter East #111 San Bernardino, CA - 924083454 |
Business Phone Number: | 9096212780 |
Business Fax Number: | 9096212790 |
Mailing Address: | 140 W. San Jose Ave, CLAREMONT |
State: | CA |
Postal Code: | 917115204 |
Phone Number: | 9096212780 |
Fax Number: | 9096212790 |
NPI Enumeration Date: | 12/03/2009 |
NPI Last Update Date: | 12/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP16548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |