Provider Demographics
NPI:1932368875
Name:EDWARDS, LAURIE ELIZABETH (MS, CF-SLP)
Entity Type:Individual
Prefix:MISS
First Name:LAURIE
Middle Name:ELIZABETH
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MS, CF-SLP
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Other - Credentials:
Mailing Address - Street 1:DUMC SPEECH PATHOLOGY AND AUDIOLOGY
Mailing Address - Street 2:DUMC 3887, 155 BAKER HOUSE, TRENT DRIVE
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-6271
Mailing Address - Fax:919-684-8298
Practice Address - Street 1:DUMC SPEECH PATHOLOGY AND AUDIOLOGY
Practice Address - Street 2:DUMC 3887, 155 BAKER HOUSE, TRENT DRIVE
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-6271
Practice Address - Fax:919-684-8298
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCTEMPORARY LICENSE235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist