Provider Demographics
NPI:1558847178
Name:PALAIT, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:PALAIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 MOOSE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE GEORGE
Mailing Address - State:NY
Mailing Address - Zip Code:12845-7203
Mailing Address - Country:US
Mailing Address - Phone:518-681-0520
Mailing Address - Fax:
Practice Address - Street 1:148 MOOSE RIDGE RD
Practice Address - Street 2:
Practice Address - City:LAKE GEORGE
Practice Address - State:NY
Practice Address - Zip Code:12845-7203
Practice Address - Country:US
Practice Address - Phone:518-681-0520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist