Doctor Name: | LAURA CRISLER |
NPI Number: | 1578863338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 2202006145 |
Business Practice Address: | 601 Childrens Ln Fifth Floor, Therapy Services Norfolk, VA - 235071910 |
Business Phone Number: | 7576689106 |
Business Fax Number: | |
Mailing Address: | 201 W 21st St, Apt. 420 NORFOLK |
State: | VA |
Postal Code: | 235172307 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/27/2010 |
NPI Last Update Date: | 10/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |