Provider Demographics
NPI:1467780015
Name:ADAMS, LAURA ELLIOTT (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ELLIOTT
Last Name:ADAMS
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 1:550 WATER ST STE F3
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4131
Mailing Address - Country:US
Mailing Address - Phone:831-247-8126
Mailing Address - Fax:
Practice Address - Street 1:550 WATER ST STE F3
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4131
Practice Address - Country:US
Practice Address - Phone:831-247-8126
Practice Address - Fax:650-750-0863
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9539235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist