Healthcare Provider Details

I. General information

NPI: 1861742553
Provider Name (Legal Business Name): WENDY LAUFFENBURGER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDY RAY

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 US HIGHWAY 70 BUS E
SMITHFIELD NC
27577-7790
US

IV. Provider business mailing address

1540 E ARLINGTON BLVD
GREENVILLE NC
27858-5870
US

V. Phone/Fax

Practice location:
  • Phone: 919-934-6031
  • Fax:
Mailing address:
  • Phone: 252-364-2806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10493
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: