Doctor Name: | LAURIE MOORLAND |
NPI Number: | 1568635456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 5814 Highway 348 Olathe, CO - 814259714 |
Business Phone Number: | 9703239090 |
Business Fax Number: | |
Mailing Address: | 133 N Cherry St, FRUITA |
State: | CO |
Postal Code: | 815212510 |
Phone Number: | 7202906708 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2008 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |