Doctor Name: | MRS. LAURA LEE ROBERTS PATISAUL |
NPI Number: | 1285045823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED., CCC-SLP |
License Number: | SLP007291 |
Business Practice Address: | 1826 Veterans Blvd Dublin, GA - 310213620 |
Business Phone Number: | 4782721210 |
Business Fax Number: | |
Mailing Address: | 1826 Veterans Blvd, DUBLIN |
State: | GA |
Postal Code: | 310213620 |
Phone Number: | 4782721210 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2014 |
NPI Last Update Date: | 05/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |