MEDICARE: LAURA ASHBY SPEARS 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
1	235Z00000X	Speech-Language Pathologist	SP#2339	AR
2	235Z00000X	Speech-Language Pathologist	107311	TX

General Provider Information

NPI Number	:	1407900020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA ASHBY SPEARS CCC-SLP

Provider Business Mailing Address
First Line	:	6303 DARBY WAY
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-3616
Country	:	US
Telephone Number	:	832-610-7740
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 N SAM HOUSTON PKWY E
Second Line	:	SUITE 246
City	:	HOUSTON
State	:	TX
Zip	:	77060-3305
Country	:	US
Telephone Number	:	713-510-5699
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	02/19/2014

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Directions to “ LAURA ASHBY SPEARS CCC-SLP” Practice Location

Language	Start Address	Practice Location

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