Laura Allred, MS.,CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Talent, OR

NPI 1710769732 · NPPES record last updated Oct 16, 2023

Key facts

NPI
1710769732
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
016339 (OR)
Practice address
221 Wintersage Cir
Talent, OR 97540-9537
Phone
(541) 621-4344
NPI assigned
Oct 16, 2023
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
016339ORMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 016339 OR Yes

Addresses

Primary practice location

221 Wintersage Cir
Talent, OR 97540-9537

Mailing address

1821 Roberts Rd
Medford, OR 97504-5344
Phone (541) 621-4344

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL TherapyNotes Direct

Other providers in Talent, OR

All providers in Talent, OR · Speech-Language Pathologist in Oregon

Sources for this page

Verify at the official NPI Registry.