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NPI Code Detail

MEDICARE: LAURIE SHEPHERD

MEDICARE: LAURIE SHEPHERD
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 PathologistSP2745OH

General Provider Information

NPI Number : 1861891004
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE SHEPHERD
Provider Business Mailing Address
First Line : 936 EASTWIND DR
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-3319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 936 EASTWIND DR
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-3319
Country : US
Telephone Number : 614-797-5925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2014
Last Update Date : 08/13/2014

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Directions to “ LAURIE SHEPHERD ” 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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