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NPI Code Detail

MEDICARE: MRS. LAURA BETH WITT M.A, CCC-SLP

MEDICARE:  MRS. LAURA BETH WITT  M.A, 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 Pathologist08776OH

General Provider Information

NPI Number : 1831811819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA BETH WITT M.A, CCC-SLP
Provider Business Mailing Address
First Line : 8354 DEEP RUN
Second Line :
City : POWELL
State : OH
Zip : 43065-8342
Country : US
Telephone Number : 419-344-7712
Fax Number :
Provider Business Practice Location Address
First Line : 5800 FOREST HILLS BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-6916
Country : US
Telephone Number : 614-890-8282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2022
Last Update Date : 09/15/2022

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Directions to “ MRS. LAURA BETH WITT M.A, CCC-SLP” Practice Location

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