Provider Demographics
NPI:1215538509
Name:SMITH, LAURA LANGFORD (MS SLP-CCC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LANGFORD
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7309 JANNA DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5323
Mailing Address - Country:US
Mailing Address - Phone:325-733-7823
Mailing Address - Fax:
Practice Address - Street 1:7309 JANNA DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5323
Practice Address - Country:US
Practice Address - Phone:325-733-7823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111456235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist