Provider Demographics
NPI:1295011203
Name:STANLEY, LAURA B (MS, CCC /SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:B
Last Name:STANLEY
Suffix:
Gender:F
Credentials:MS, CCC /SLP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:B
Other - Last Name:THURSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC /SLP
Mailing Address - Street 1:635 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-3415
Mailing Address - Country:US
Mailing Address - Phone:603-524-1741
Mailing Address - Fax:603-524-0262
Practice Address - Street 1:635 MAIN ST
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3415
Practice Address - Country:US
Practice Address - Phone:603-524-1741
Practice Address - Fax:603-524-0262
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0411235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist