Doctor Name: | LAURA G MASON |
NPI Number: | 1114176229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3141154 |
Business Practice Address: | 2620 Waunona Way Madison, WI - 537131525 |
Business Phone Number: | 6082231452 |
Business Fax Number: | |
Mailing Address: | 1140 Morraine View Dr, Unit 302 MADISON |
State: | WI |
Postal Code: | 537193080 |
Phone Number: | 3192391801 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2008 |
NPI Last Update Date: | 09/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3141154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |