Doctor Name: | LAURA THIELEMIER |
NPI Number: | 1275919219 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SP#P8782 |
Business Practice Address: | 2007 Old County Rd Pocahontas, AR - 724554136 |
Business Phone Number: | 8702481448 |
Business Fax Number: | 8702481450 |
Mailing Address: | 2007 Old County Rd, POCAHONTAS |
State: | AR |
Postal Code: | 724554136 |
Phone Number: | 8702481448 |
Fax Number: | 8702481450 |
NPI Enumeration Date: | 07/31/2015 |
NPI Last Update Date: | 07/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#P8782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |