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NPI Code Detail

MEDICARE: LAURA HOOKE OLSEN

MEDICARE: LAURA HOOKE OLSEN
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 PathologistSP2006ME
2235Z00000XSpeech-Language Pathologist1290NH
3235Z00000XSpeech-Language PathologistSLP008786GA

General Provider Information

NPI Number : 1881992618
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA HOOKE OLSEN
Provider Business Mailing Address
First Line : 100 6T STREET NE
Second Line : APT 1315
City : ATLANTA
State : GA
Zip : 30308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 404 KING SPRINGS VILLAGE PKWY SE
Second Line :
City : SMYRNA
State : GA
Zip : 30082-4240
Country : US
Telephone Number : 207-290-1084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2011
Last Update Date : 10/08/2015

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Directions to “ LAURA HOOKE OLSEN ” Practice Location

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