Individual
JACQUELYN RACHEL LAING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9675 BRIGHTON WAY STE 100, BEVERLY HILLS, CA 90210-5132
(310) 281-0010
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24797
CA
Other
Enumeration date
06/25/2019
Last updated
07/15/2020
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