Individual
MS. LAURA PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10385 E HWY 92, HEREFORD, AZ 85615-8370
(520) 366-6204
(520) 366-0313
Mailing address
PO BOX 38, HEREFORD, AZ 85615-0038
(520) 366-6204
(520) 366-0313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA5892
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP6387
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812014500
—
FL
05
—
891556300
—
FL
01
—
S9320
BCBS OF FLORIDA
FL
Enumeration date
11/28/2006
Last updated
10/21/2009
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