Doctor Name: | LAYLA VISE |
NPI Number: | 1912343997 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | SA 8413 |
Business Practice Address: | 6281 Tri Ridge Blvd Ste 100 Loveland, OH - 451408345 |
Business Phone Number: | 8667915766 |
Business Fax Number: | 8777943289 |
Mailing Address: | 1397 Hickory Dr, BEAVERCREEK |
State: | OH |
Postal Code: | 454346531 |
Phone Number: | 9379129579 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2013 |
NPI Last Update Date: | 05/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 8413 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |