Provider Demographics
NPI:1235858812
Name:SNAVELY, LAURA G (MA, MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:G
Last Name:SNAVELY
Suffix:
Gender:F
Credentials:MA, MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CRABAPPLE CT
Mailing Address - Street 2:
Mailing Address - City:THE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78738-1466
Mailing Address - Country:US
Mailing Address - Phone:512-522-8616
Mailing Address - Fax:
Practice Address - Street 1:1800 COLT CIR
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-4200
Practice Address - Country:US
Practice Address - Phone:512-522-8616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist