Doctor Name: | LAURA CONNOR |
NPI Number: | 1396051678 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P. |
License Number: | SP1477 |
Business Practice Address: | 12 Tiger Dr Jay School Department Jay, ME - 042391518 |
Business Phone Number: | 2078975271 |
Business Fax Number: | 2078974657 |
Mailing Address: | 12 Tiger Dr, Jay School Department JAY |
State: | ME |
Postal Code: | 042391518 |
Phone Number: | 2078975271 |
Fax Number: | 2078974657 |
NPI Enumeration Date: | 08/25/2010 |
NPI Last Update Date: | 08/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1477 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |