Doctor Name: | LAURA LEE SCHROCK |
NPI Number: | 1851582845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP3376 |
Business Practice Address: | 200 Health Center Building Bowling Green State University Bowling Green, OH - 434030149 |
Business Phone Number: | 4193727183 |
Business Fax Number: | 4193728089 |
Mailing Address: | 200 Health Center Building, Bowling Green State University BOWLING GREEN |
State: | OH |
Postal Code: | 434030149 |
Phone Number: | 4193727183 |
Fax Number: | 4193728089 |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 08/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP3376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |