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NPI Code Detail

MEDICARE: MS. LAURA THORBURN MA CCC SLP

MEDICARE:  MS. LAURA  THORBURN  MA 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 PathologistSP.14232OH
2235Z00000XSpeech-Language PathologistSP10088CA
3235Z00000XSpeech-Language PathologistSA18396FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639346281
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA THORBURN MA CCC SLP
Provider Business Mailing Address
First Line : 11938 GOSHEN AVE
Second Line : APT 9
City : LOS ANGELES
State : CA
Zip : 90049-6320
Country : US
Telephone Number : 310-712-1281
Fax Number :
Provider Business Practice Location Address
First Line : 11938 GOSHEN AVE
Second Line : APT 9
City : LOS ANGELES
State : CA
Zip : 90049-6320
Country : US
Telephone Number : 310-712-1281
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2008
Last Update Date : 01/25/2023

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Directions to “ MS. LAURA THORBURN MA CCC SLP” Practice Location

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