NPIMap

Laura M Green, MED CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Webb City, MO

NPI 1093840985 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1093840985
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
106954 (MO)
Practice address
1401 W Austin St
Webb City, MO 64870-1617
Phone
(417) 850-4316
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
106954MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Communicare P.C. Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 106954 MO Yes

Addresses

Primary practice location

1401 W Austin St
Webb City, MO 64870-1617

Mailing address

1829 Philadelphia
Webb City, MO 64870-1093
Phone (417) 850-4316

Other providers in Webb City, MO

All providers in Webb City, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.