Provider Demographics
NPI:1407900020
Name:SPEARS, LAURA ASHBY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ASHBY
Last Name:SPEARS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6303 DARBY WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-3616
Mailing Address - Country:US
Mailing Address - Phone:832-610-7740
Mailing Address - Fax:
Practice Address - Street 1:340 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE 246
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3305
Practice Address - Country:US
Practice Address - Phone:713-510-5699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#2339235Z00000X
TX107311235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist