Doctor Name: | MS. LAURA JANE MONTESANO |
NPI Number: | 1821104571 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP, MT-BC |
License Number: | |
Business Practice Address: | 6505 Kalua Rd Apt 203 Boulder, CO - 803015809 |
Business Phone Number: | 3038823123 |
Business Fax Number: | 3039938706 |
Mailing Address: | 6505 Kalua Rd Apt 203, BOULDER |
State: | CO |
Postal Code: | 803015809 |
Phone Number: | 3038823123 |
Fax Number: | 3039938706 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |