Doctor Name: | LAURA KNEPPLE |
NPI Number: | 1093127698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 07247 |
Business Practice Address: | 5535 S Williamson Blvd Ste 774 Port Orange, FL - 321288311 |
Business Phone Number: | 8003307711 |
Business Fax Number: | |
Mailing Address: | 932 S Curley St, BALTIMORE |
State: | MD |
Postal Code: | 212244824 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/30/2014 |
NPI Last Update Date: | 05/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 07247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |