Doctor Name: | LAUREN WATSON STALTE |
NPI Number: | 1750406864 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SL008469 |
Business Practice Address: | 103 Frehold Court Cary, NC - 27519 |
Business Phone Number: | 9194654424 |
Business Fax Number: | |
Mailing Address: | 5221 Sunset Walk Lane, HOLLY SPRINGS |
State: | NC |
Postal Code: | 27540 |
Phone Number: | 2157676284 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 04/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008469 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |