Laura Bear, MS, CCC-SLP – Speech-Language Pathologist

Key facts

NPI: 1376771709
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 015340-1 (NY)
Practice address: 33-57 Harrison St
Johnson City, NY 13790-2107
Phone: (607) 763-6033
Fax: (607) 763-6853
NPI assigned: Jun 24, 2009
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.

United Health Services Hospitals, Inc. Multi-Specialty Clinic/Center · Johnson City, NY · NPI 1962463851

NPD (past)

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 Science

State licenses

License	State	Type	Specialty
015340-1	NY	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
United Health Services Hospitals, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	015340-1	NY	Yes

Addresses

Primary practice location

33-57 Harrison St
Johnson City, NY 13790-2107

Mailing address

15 Halstead Ave
Owego, NY 13827-1705
Phone (607) 763-6033

Other providers in Johnson City, NY

All providers in Johnson City, NY · Speech-Language Pathologist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2009. 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.

Verify at the official NPI Registry.