Doctor Name: | MRS. ANNETTE LYNN LANDES |
NPI Number: | 1154455848 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 0191121 |
Business Practice Address: | 7888 Kremers Ln Laporte, CO - 805359580 |
Business Phone Number: | 9702179532 |
Business Fax Number: | 9705680705 |
Mailing Address: | 7888 Kremers Ln, LAPORTE |
State: | CO |
Postal Code: | 805359580 |
Phone Number: | 9702179532 |
Fax Number: | 9705680705 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0191121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |