Doctor Name: | LAURA JOAN SOOS |
NPI Number: | 1144589045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., M.S. |
License Number: | 105943 |
Business Practice Address: | 2001 Scenic Dr Georgetown, TX - 786267725 |
Business Phone Number: | 5128639511 |
Business Fax Number: | 5128691400 |
Mailing Address: | 2001 Scenic Dr, GEORGETOWN |
State: | TX |
Postal Code: | 786267725 |
Phone Number: | 5128639511 |
Fax Number: | 5128691400 |
NPI Enumeration Date: | 05/11/2012 |
NPI Last Update Date: | 05/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105943 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |