Laura Beth Barrett, SLP

Individual provider Active NPI Speech-Language Pathologist · Bristow, VA

NPI 1487900932 · NPPES record last updated Mar 6, 2013

Key facts

NPI
1487900932
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2202004460
Practice address
14012 Rora Moss PL
Bristow, VA 20136-2648
Phone
(703) 864-6652
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202004460 Yes

Addresses

Primary practice location

14012 Rora Moss PL
Bristow, VA 20136-2648

Mailing address

14012 Rora Moss PL
Bristow, VA 20136-2648
Phone (703) 864-6652

Other identifiers

IdentifierTypeStateIssuer
004978277MedicaidVA

Other names

  • Laura Beth Sugarman Former name

Other providers in Bristow, VA

All providers in Bristow, VA · Speech-Language Pathologist in Virginia

Sources for this page

Verify at the official NPI Registry.