Provider Demographics
NPI:1750954152
Name:STECHER, LAURA LIN (MS, CF)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LIN
Last Name:STECHER
Suffix:
Gender:F
Credentials:MS, CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 SPRING VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-2721
Mailing Address - Country:US
Mailing Address - Phone:314-973-1326
Mailing Address - Fax:
Practice Address - Street 1:515 PICNIC ST
Practice Address - Street 2:
Practice Address - City:NEW FLORENCE
Practice Address - State:MO
Practice Address - Zip Code:63363-2223
Practice Address - Country:US
Practice Address - Phone:573-415-9333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021024136235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty