Individual
MS. LAUREL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2039 ANDERSON FERRY ROAD, CINCINNATI, OH 45238
(513) 922-5437
Mailing address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
(513) 755-6600
(513) 755-3762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
KY-2584
KY
235Z00000X
Speech-Language Pathologist
Primary
SP11066
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406425
—
OH
01
—
AB7360731
MEDICARE PIN
OH
Enumeration date
05/07/2007
Last updated
07/23/2020
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