Provider Demographics
NPI:1982183091
Name:THOMPSON, LAURA BRITNEY (MA, SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:BRITNEY
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 HIGHWAY 9 E STE C4
Mailing Address - Street 2:
Mailing Address - City:LONGS
Mailing Address - State:SC
Mailing Address - Zip Code:29568-5753
Mailing Address - Country:US
Mailing Address - Phone:843-734-1076
Mailing Address - Fax:843-734-1107
Practice Address - Street 1:2126 HIGHWAY 9 E STE C4
Practice Address - Street 2:
Practice Address - City:LONGS
Practice Address - State:SC
Practice Address - Zip Code:29568-5753
Practice Address - Country:US
Practice Address - Phone:842-734-1076
Practice Address - Fax:843-734-1107
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist