Individual
LAURA ANNE FOLSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4545 E SHEA BLVD STE 169, PHOENIX, AZ 85028-3061
(602) 765-6929
(602) 494-2930
Mailing address
15436 N.1ST PL., PHOENIX, AZ 85022-3002
(602) 978-0529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP0461
SPEECH LANGUAGE PATHOLOGI
AZ
Enumeration date
06/08/2007
Last updated
07/08/2007
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