Provider Demographics
NPI:1457503989
Name:GARNER, LAURIE PACE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:PACE
Last Name:GARNER
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 1:1107 APPLEGATE CT
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-8910
Mailing Address - Country:US
Mailing Address - Phone:828-781-0854
Mailing Address - Fax:828-221-2276
Practice Address - Street 1:1107 APPLEGATE CT
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-8910
Practice Address - Country:US
Practice Address - Phone:828-781-0854
Practice Address - Fax:828-221-2276
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3173235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist