Doctor Name: | LAURA MICHIE |
NPI Number: | 1316947252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 01642 |
Business Practice Address: | 10 N Jefferson St Ste 304 Frederick, MD - 217014866 |
Business Phone Number: | 3016681852 |
Business Fax Number: | 3016681854 |
Mailing Address: | 10 N Jefferson St, Ste 304 FREDERICK |
State: | MD |
Postal Code: | 217014866 |
Phone Number: | 3014713169 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2005 |
NPI Last Update Date: | 01/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01642 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |