Individual
LAURIE A RAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3054 ENTERPRISE DR, STATE COLLEGE, PA 16801-2755
(814) 234-6023
Mailing address
3054 ENTERPRISE DR, STATE COLLEGE, PA 16801-2755
(814) 234-5024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000134L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019087730003
—
PA
Enumeration date
03/29/2007
Last updated
08/27/2008
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