Doctor Name: | MRS. VICKY SUE LAUBER |
NPI Number: | 1497072565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 22001272A |
Business Practice Address: | 405 Rio Vista Ln Rising Sun, IN - 470409497 |
Business Phone Number: | 8124382219 |
Business Fax Number: | 8124381268 |
Mailing Address: | 405 Rio Vista Ln, RISING SUN |
State: | IN |
Postal Code: | 470409497 |
Phone Number: | 8124382219 |
Fax Number: | 8124381268 |
NPI Enumeration Date: | 04/28/2010 |
NPI Last Update Date: | 04/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22001272A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |