Doctor Name: | MRS. LAURA SPAIN |
NPI Number: | 1205832060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.T. |
License Number: | SA3967 |
Business Practice Address: | 2210 Highway 44 W Inverness, FL - 344533860 |
Business Phone Number: | 3528602220 |
Business Fax Number: | 3528601181 |
Mailing Address: | 8455 S Suncoast Blvd, HOMOSASSA |
State: | FL |
Postal Code: | 344465066 |
Phone Number: | 3528602220 |
Fax Number: | 3528601181 |
NPI Enumeration Date: | 06/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA3967 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |