Doctor Name: | LAURA JEAN TRELA |
NPI Number: | 1700027950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD. CCC/SLP |
License Number: | 19705 |
Business Practice Address: | 300 University Blvd Round Rock, TX - 786651032 |
Business Phone Number: | 5125099432 |
Business Fax Number: | 5125097606 |
Mailing Address: | 300 University Blvd, Home Address: 1401 Yellow Rose, Salado, Tx. 76571 ROUND ROCK |
State: | TX |
Postal Code: | 786651032 |
Phone Number: | 5125099432 |
Fax Number: | 5125097606 |
NPI Enumeration Date: | 03/18/2009 |
NPI Last Update Date: | 03/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |