Provider Demographics
NPI:1376252825
Name:HONAKER, LAURA C (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:C
Last Name:HONAKER
Suffix:
Gender:F
Credentials: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 1:3246 BLUE GRASS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BLUE GRASS
Mailing Address - State:VA
Mailing Address - Zip Code:24413-2003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:68 GOOD SAMARITAN DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WV
Practice Address - Zip Code:26807-6648
Practice Address - Country:US
Practice Address - Phone:304-358-2322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist