Laura Kathleen Broughton, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.08647 Issued in OH

Practice address

19527 Henry Rd
Fairview Park, OH 44126-1639

Phone

(440) 829-0446

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Laura Kathleen Schultz Former name

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1851938971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19527 HENRY RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261639",
            "telephone_number": "440-829-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19527 HENRY RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261639",
            "telephone_number": "440-829-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "LAURA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.08647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SCHULTZ",
            "middle_name": "KATHLEEN",
            "prefix": "MISS",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Bowersox, LSW
• Mark C Boyle, OTR/L
• Bradley Warren Hylan DMD Fairview LLC
• Kathleen B Bremer, MS, PCC-S
• David Brockett, LPC
• Sheryl Lea Buckley, M.D.
• Kelly Calta, PHARMD., CGP
• Canvas Therapy LLC
• Matthew Anthony Capezzuto, LISW
• Limary Caraballo

• Speech-Language Pathologist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.