Healthcare Provider Details

I. General information

NPI: 1467377523
Provider Name (Legal Business Name): LAURA NORRIS M.A.,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E CANAL DR
TURLOCK CA
95380-4221
US

IV. Provider business mailing address

601 COLORADO AVE
TURLOCK CA
95380-4169
US

V. Phone/Fax

Practice location:
  • Phone: 350-206-6400
  • Fax:
Mailing address:
  • Phone: 209-667-8519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number21836
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: