Gresham, Laura Crisler

Gresham, Laura Crisler is an individual health care provider with primary practice located at 6063 River Cres , Norfolk VA 23505-4706. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gresham, Laura Crisler can be contacted via phone (757) 777-2420.

Contact Information

Primary practice address
6063 River Cres Norfolk VA 23505-4706
Phone: (757) 777-2420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202006145 Virginia

Profile Details

NPI number 1578863338
LBN Legal business name Gresham, Laura Crisler
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2010
Last updated Feb 2nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578863338 NPPES
Virginia Other 2202006145 VA SPEECH LANGUAGE PATHOLOGY LICENSE
Virginia Other 12096443 VA SPEECH LANGUAGE PATHOLOGY LICENSE

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