Provider Demographics
NPI:1033502323
Name:SEGUINOT, LAURA (MS-SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SEGUINOT
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 AVE MONTE CARLO
Mailing Address - Street 2:PORTAL DE LA REINA 302
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-5755
Mailing Address - Country:US
Mailing Address - Phone:939-645-0536
Mailing Address - Fax:
Practice Address - Street 1:1306 AVE MONTE CARLO
Practice Address - Street 2:PORTAL DE LA REINA 302
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-5755
Practice Address - Country:US
Practice Address - Phone:939-645-0536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003036235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist