Doctor Name: | LAURA ANN CUMBY |
NPI Number: | 1033403092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 146010458 |
Business Practice Address: | 777 Park Ave W Room 2102 Highland Park, IL - 600352433 |
Business Phone Number: | 8474803920 |
Business Fax Number: | 8474802738 |
Mailing Address: | 777 Park Ave W, Room 2102 HIGHLAND PARK |
State: | IL |
Postal Code: | 600352433 |
Phone Number: | 8474803920 |
Fax Number: | 8474802738 |
NPI Enumeration Date: | 06/07/2011 |
NPI Last Update Date: | 06/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146010458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |