Doctor Name: | LAURA BRESEE |
NPI Number: | 1700907359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | 3342 |
Business Practice Address: | 5575 Poplar Ave Ste 303 Memphis, TN - 381193862 |
Business Phone Number: | 9017674661 |
Business Fax Number: | 9017673035 |
Mailing Address: | 200 Wagner Pl, 1006 MEMPHIS |
State: | TN |
Postal Code: | 381033617 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |