Provider Demographics
NPI:1710467022
Name:LAFFITTE, SYDNEY REEVES (SLP)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:REEVES
Last Name:LAFFITTE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 SYCAMORE AVE APT 828
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6727
Mailing Address - Country:US
Mailing Address - Phone:803-942-4360
Mailing Address - Fax:
Practice Address - Street 1:75 CALHOUN ST FL 2
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-3502
Practice Address - Country:US
Practice Address - Phone:843-937-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist