Organization Name: | LAURAELIZABETH, INC. |
NPI Number: | 1679976971 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA E BAUKOL (PRESIDENT) |
Mailing Address: | 3165 Ingalls St Wheat Ridge |
State: | CO US |
Postal Code: | 802148146 |
Phone Number: | 3172506674 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2014 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0000044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |