Doctor Name: | LAURA HOOKE OLSEN |
NPI Number: | 1881992618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP2006 |
Business Practice Address: | 404 King Springs Village Pkwy Se Smyrna, GA - 300824240 |
Business Phone Number: | 2072901084 |
Business Fax Number: | |
Mailing Address: | 100 6t Street Ne, Apt 1315 ATLANTA |
State: | GA |
Postal Code: | 30308 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/02/2011 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP2006 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
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 |