Provider Demographics
NPI:1437126554
Name:NIBLETT, LAURA PAIGE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:PAIGE
Last Name:NIBLETT
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 1:2779 SOUTHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-5692
Mailing Address - Country:US
Mailing Address - Phone:256-225-4310
Mailing Address - Fax:205-425-3430
Practice Address - Street 1:1906 8TH ST SW
Practice Address - Street 2:
Practice Address - City:LANETT
Practice Address - State:AL
Practice Address - Zip Code:36863-2142
Practice Address - Country:US
Practice Address - Phone:706-518-5813
Practice Address - Fax:334-642-0878
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2242235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist