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NPI Code Detail

MEDICARE: LAURA REBECCA MICHAEL CCC-SLP

MEDICARE: LAURA REBECCA MICHAEL 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 : 1588941140
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA REBECCA MICHAEL CCC-SLP
Provider Business Mailing Address
First Line : 2500 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4314
Country : US
Telephone Number : 336-375-2240
Fax Number : 336-375-2214
Provider Business Practice Location Address
First Line : 2500 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4314
Country : US
Telephone Number : 336-375-2240
Fax Number : 336-375-2214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2011
Last Update Date : 02/10/2026

Similar Medicare Providers

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1891061081 — MRS. ANDREA R BOTNICK BOWEN MS, CCC-SLP
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1669638748 — KELLY M. BLANKENSHIP SLP
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Directions to “ LAURA REBECCA MICHAEL 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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