Laurie Bandy
Individual provider Active NPI Speech-Language Pathologist · Poteau, OK
NPI 1013440353 · NPPES record last updated Apr 4, 2017
Key facts
- NPI
- 1013440353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2303 (OK)
- Practice address
- 1204 Dewey Ave
Poteau, OK 74953-4414 - Phone
- (918) 647-8601
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2303 | OK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2303 | OK | Yes |
Addresses
Primary practice location
1204 Dewey Ave
Poteau, OK 74953-4414
Mailing address
1204 Dewey Ave
Poteau, OK 74953-4414
Other providers in Poteau, OK
- Michele Baker
- Ashley Baldwin
- Ferrell Lace Balentine
- Lauren Eva Ball
- Elizabeth Banda
- Marilyn Bandy
- Michelle L Barker
- Benjamin Jackson Barnes
- Ross Barnhart
- Teran Barnhart
All providers in Poteau, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.