Individual
DR. LARA LYNN WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-SLP
Contact information
Practice address
2507 ST REGIS CT, COLUMBIA, MO 65203-8445
(572) 268-3284
Mailing address
2507 ST REGIS CT, COLUMBIA, MO 65203-8445
(572) 268-3284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006028879
MO
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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