Laurie Webb

Individual provider Active NPI Speech-Language Pathologist · Bridport, VT

NPI 1457907628 · NPPES record last updated Aug 14, 2019

Key facts

NPI
1457907628
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3906 (MA)
Practice address
2448 VT Route 22a
Bridport, VT 05734-9778
Phone
(978) 317-5184
NPI assigned
Aug 14, 2019
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

LicenseStateTypeSpecialty
SA16848FLMDSpeech-Language Pathologist
144.0128767VTMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA16848 FL
Speech-Language Pathologist 235Z00000X 144.0128767 VT
Speech-Language Pathologist 235Z00000X 3906 MA Yes

Addresses

Primary practice location

2448 VT Route 22a
Bridport, VT 05734-9778

Mailing address

2448 VT Route 22a
Bridport, VT 05734-9778
Phone (978) 317-5184

Other providers in Bridport, VT

All providers in Bridport, VT · Speech-Language Pathologist in Vermont

Sources for this page

Verify at the official NPI Registry.