Provider Demographics
NPI:1700201290
Name:STEELE, LAURA NICHOLE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:NICHOLE
Last Name:STEELE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:NIKKI
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CFY-SLP
Mailing Address - Street 1:2371 NOTTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-1227
Mailing Address - Country:US
Mailing Address - Phone:614-313-7799
Mailing Address - Fax:
Practice Address - Street 1:2200 US 68
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078
Practice Address - Country:US
Practice Address - Phone:937-484-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.2013105-SP235Z00000X
OHSP. 11158235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist