Provider Demographics
NPI:1801155981
Name:DEER, LAURA MARGARET (MS CCC/SLP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARGARET
Last Name:DEER
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 1:5341 LOMA LINDA AVE #19
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-4087
Mailing Address - Country:US
Mailing Address - Phone:310-529-6760
Mailing Address - Fax:
Practice Address - Street 1:5341 LOMA LINDA AVE APT 19
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-4087
Practice Address - Country:US
Practice Address - Phone:310-529-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16418235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist