Laurie Jean Olive, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 7265 Issued in FL

Practice address

20581 Torre del Lago St
Estero, FL 33928-6351

Phone

(239) 992-2065

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1710187208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20581 TORRE DEL LAGO ST",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286351",
            "telephone_number": "239-992-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20581 TORRE DEL LAGO ST",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286351",
            "telephone_number": "239-992-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "LAURIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Thomas Novak, PHARM D.
• Robert Thomas O'Leary, DO
• Elliot Ocasio, PHARMACIST INTERN
• Tonia Oleary, PT
• Angela Victoria Olivar, DMD
• Ciera N Olvera, OTR/L
• Orion Eye Care, LLC
• Orthopedic Center of Florida, Inc
• Boris Ovodenko, M.D.
• Pain & Rehab Center Inc

• Speech-Language Pathologist in Estero, FL
• Providers in Estero, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.