Doctor Name: | KAELA M LAUDAL |
NPI Number: | 1104142066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLP 1959 |
Business Practice Address: | 207 Main Ave W West Fargo, ND - 580781725 |
Business Phone Number: | 7013562000 |
Business Fax Number: | 7013562009 |
Mailing Address: | 5481 47th Ave S, FARGO |
State: | ND |
Postal Code: | 581046071 |
Phone Number: | 7016290400 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2010 |
NPI Last Update Date: | 12/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP 1959 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
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 |