Individual
MRS. LAURA ANN RABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCD-SLP
Contact information
Practice address
1218 MISSISSIPPI AVE, CHATTANOOGA, TN 37405-3638
(423) 304-3116
(205) 621-6507
Mailing address
1218 MISSISSIPPI AVE, CHATTANOOGA, TN 37405-3638
(423) 304-3116
(205) 621-6507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2494
AL
235Z00000X
Speech-Language Pathologist
Primary
SP0000003775
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51536057
BLUE CROSS BLUE SHEILD
AL
05
—
890013630
—
AL
Enumeration date
01/09/2007
Last updated
03/18/2009
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