MEDICARE: MS. LAURA CLOUSE M.S.CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SL008594	PA

General Provider Information

NPI Number	:	1477794618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA CLOUSE M.S.CCC-SLP

Provider Business Mailing Address
First Line	:	216 ALDRICH AVE
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-3204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 UNION AVE STE 200
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-3209
Country	:	US
Telephone Number	:	814-944-5014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	06/18/2026

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Directions to “ MS. LAURA CLOUSE M.S.CCC-SLP” Practice Location

Language	Start Address	Practice Location

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