Provider Demographics
NPI:1841572005
Name:CHEFER, LAURA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:CHEFER
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 1:1117 ROGERETTA DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3817
Mailing Address - Country:US
Mailing Address - Phone:678-984-3317
Mailing Address - Fax:
Practice Address - Street 1:1117 ROGERETTA DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3817
Practice Address - Country:US
Practice Address - Phone:678-984-3317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006526235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist