Doctor Name: | LAURIE DODEZ |
NPI Number: | 1982002853 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP-5074 |
Business Practice Address: | 78 Green Ridge Ln Powell, OH - 430659793 |
Business Phone Number: | 6144031052 |
Business Fax Number: | |
Mailing Address: | 78 Green Ridge Ln, POWELL |
State: | OH |
Postal Code: | 430659793 |
Phone Number: | 6144031052 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2014 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-5074 |
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 |