Doctor Name: | LAURA PATTON |
NPI Number: | 1194163840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2012022390 |
Business Practice Address: | 22864 Perimeter Drive Lebanon, MO - 65536 |
Business Phone Number: | 4175326528 |
Business Fax Number: | 4175322435 |
Mailing Address: | Po Box 1023, LEBANON |
State: | MO |
Postal Code: | 655361023 |
Phone Number: | 4175326528 |
Fax Number: | 4175322435 |
NPI Enumeration Date: | 06/04/2013 |
NPI Last Update Date: | 06/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2012022390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |