Individual
LAURA BOOTH COLLINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
109 ASHTON LN, SALISBURY, NC 28147-7212
(704) 633-4271
(704) 633-4271
Mailing address
109 ASHTON LN, SALISBURY, NC 28147
(704) 633-4271
(704) 633-4271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2142
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142
LICENSE
NC
05
—
7423724
—
NC
Enumeration date
01/18/2006
Last updated
07/08/2007
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