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NPI Code Detail

MEDICARE: MRS. ROBERTA M. LASLY MS, CCC-SLP

MEDICARE: MRS. ROBERTA M. LASLY MS, 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
1235Z00000XSpeech-Language Pathologist108138TX

General Provider Information

NPI Number : 1962060707
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBERTA M. LASLY MS, CCC-SLP
Provider Business Mailing Address
First Line : 7349 HONEYSUCKLE STE 100
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5888
Country : US
Telephone Number : 254-780-9658
Fax Number :
Provider Business Practice Location Address
First Line : 7349 HONEYSUCKLE STE 100
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5888
Country : US
Telephone Number : 254-780-9658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2019
Last Update Date : 06/05/2019

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Directions to “ MRS. ROBERTA M. LASLY MS, CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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