Laramie Cecil
Individual provider Active NPI Speech-Language Pathologist · Charlestown, IN
NPI 1740072107 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1740072107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1703 Charlestown Memphis Rd
Charlestown, IN 47111-8914 - Phone
- (502) 417-7055
- NPI assigned
- May 21, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | KY | Yes |
Addresses
Primary practice location
1703 Charlestown Memphis Rd
Charlestown, IN 47111-8914
Mailing address
1703 Charlestown Memphis Rd
Charlestown, IN 47111-8914
Phone (502) 417-7055
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All providers in Charlestown, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.