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NPI Code Detail

MEDICARE: LAURIE STRUEBY MS CCC SLP

MEDICARE: LAURIE STRUEBY 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
1251E00000XHome Health Agency
2235Z00000XSpeech-Language Pathologist15173TX

General Provider Information

NPI Number : 1013417260
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE STRUEBY MS CCC SLP
Provider Business Mailing Address
First Line : 1222 BROOKVALLEY DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-2960
Country : US
Telephone Number : 817-487-2515
Fax Number :
Provider Business Practice Location Address
First Line : 9240 COUNTY VIEW RD
Second Line :
City : DALLAS
State : TX
Zip : 75249-1124
Country : US
Telephone Number : 972-708-2060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2018
Last Update Date : 10/31/2022

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Directions to “ LAURIE STRUEBY MS CCC SLP” Practice Location

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