Provider Demographics
NPI:1265656557
Name:LAUBACH & ASSOCIATES SPEECH LANGUAGE PATHOLOGISTS
Entity Type:Organization
Organization Name:LAUBACH & ASSOCIATES SPEECH LANGUAGE PATHOLOGISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:LAUBACH
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:830-481-6532
Mailing Address - Street 1:153 N SANTA CLARA AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5550
Mailing Address - Country:US
Mailing Address - Phone:830-481-6532
Mailing Address - Fax:
Practice Address - Street 1:153 N SANTA CLARA AVE
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5550
Practice Address - Country:US
Practice Address - Phone:830-481-6532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13312235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13312OtherLICENSURE