Provider Demographics
NPI:1467698316
Name:CAUFIELD, LAURIE (SPEECH THERAPIST)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:CAUFIELD
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 SE 17TH ST
Mailing Address - Street 2:#309-217
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5036 SE 110TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:FL
Practice Address - Zip Code:34420-3116
Practice Address - Country:US
Practice Address - Phone:352-693-3378
Practice Address - Fax:888-758-9645
Is Sole Proprietor?:No
Enumeration Date:2008-12-24
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7949235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist