MEDICARE: MS. LAURA WOOD SANCHEZ M.S., 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	0000004239	TN

General Provider Information

NPI Number	:	1568767853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA WOOD SANCHEZ M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	1647 MALLORY LN STE 103
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2927
Country	:	US
Telephone Number	:	615-661-5437
Fax Number	:

Provider Business Practice Location Address
First Line	:	1647 MALLORY LN STE 103
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2927
Country	:	US
Telephone Number	:	615-661-5437
Fax Number	:

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

Provider Enumeration Date	:	01/18/2011
Last Update Date	:	04/19/2011

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Directions to “ MS. LAURA WOOD SANCHEZ M.S., CCC-SLP” Practice Location

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