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NPI Code Detail

MEDICARE: MRS. LAURA R HUDSON CCC-SLP

MEDICARE: MRS. LAURA R HUDSON 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 Pathologist

General Provider Information

NPI Number : 1215245915
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA R HUDSON CCC-SLP
Provider Business Mailing Address
First Line : 17 N PARK ST
Second Line :
City : ADAMS
State : NY
Zip : 13605-1106
Country : US
Telephone Number : 315-232-4882
Fax Number :
Provider Business Practice Location Address
First Line : 1351 WASHINGTON ST
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-4531
Country : US
Telephone Number : 315-785-3728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2010
Last Update Date : 09/16/2010

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Directions to “ MRS. LAURA R HUDSON 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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