Doctor Name: | LINDA LAWLIS |
NPI Number: | 1548409568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1419 |
Business Practice Address: | 3911 Avenue B Suite G200 Scottsbluff, NE - 693614617 |
Business Phone Number: | 3086301355 |
Business Fax Number: | 3086302299 |
Mailing Address: | 3640 E 18th St, CASPER |
State: | WY |
Postal Code: | 826093639 |
Phone Number: | 3072596722 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2009 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |