Individual
LAURA MICHELLE TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2012 S JONES BLVD, LAS VEGAS, NV 89146-3151
(803) 422-7451
Mailing address
2012 S JONES BLVD, LAS VEGAS, NV 89146-3151
(803) 422-7451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP008791
GA
235Z00000X
Speech-Language Pathologist
Primary
SP-1803
NV
Other
Enumeration date
05/31/2015
Last updated
05/31/2015
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