Martin, Laura Simmons

Martin, Laura Simmons is an individual health care provider with primary practice located at 146 Timber Creek Dr Ste 101 , Cordova TN 38018-4234. 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. Martin, Laura Simmons can be contacted via phone (901) 309-5219.

Contact Information

Primary practice address
146 Timber Creek Dr Ste 101 Cordova TN 38018-4234
Phone: (901) 309-5219
Fax: (901) 309-5265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2379 Tennessee

Profile Details

NPI number 1225116692
LBN Legal business name Martin, Laura Simmons
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 16th, 2011 - about 15 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 1225116692 NPPES
Tennessee Other 4290424 BCBST PIN
Tennessee Other 4129036 BCBST PIN
Tennessee Other 7698562 BCBST PIN

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