Laura Marie Whaley, MS CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202008106 Issued in VA

Practice address

6800 Lucy Corr Blvd.
Attn: Rehab Dept.
Chesterfield, VA 23823

Phone

(804) 748-1511

NPI assigned

Sep 7, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Laura Marie Wiseman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1053692863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 LOCH BRAEMAR DRIVE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23236",
            "telephone_number": "304-419-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 LUCY CORR BLVD.",
            "address_2": "ATTN: REHAB DEPT.",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "23823",
            "telephone_number": "804-748-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "1270",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WISEMAN",
            "middle_name": "MARIE",
            "credential": "MS CCC/SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yvonne K Watkins, L.C.P.
• Rochelle Watson
• Sandra Watson, LPC
• Susan Meads Webb, LPC
• Stephanie Morris Webber, RN, BSN, IBCLC
• George M White, LPC
• Crystal Whitley
• Danielle Whitlow
• Sondrella Kazzaz Wilda, M.A,
• Melissa Lorien Wilder, LCSW

• Speech-Language Pathologist in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.