Laura Eason Cefalu, MCD,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114797 Issued in TX

Practice address

7515 Northlake Dr
Tyler, TX 75703-7077

Phone

(318) 655-0751

NPI assigned

Sep 2, 2021

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1396413472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 NORTHLAKE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037077",
            "telephone_number": "318-655-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 NORTHLAKE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037077",
            "telephone_number": "318-655-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEFALU",
        "first_name": "LAURA",
        "middle_name": "EASON",
        "credential": "MCD,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenora Ceballos
• Cec Tyler ER Physicians PLLC
• Hector D Ceccoli, MD
• Jena Cecil
• Jeremy Russell Cefalu, MD
• Troy Andrew Cenac
• Cenikor Foundation
• Daniela Gissel Cerrillo, DMD
• Zain Chagla
• Flennell Chalk

• Speech-Language Pathologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.