Individual
MRS. VICTORIA LAURENT BACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2819 N SAINT JOSEPH AVE, EVANSVILLE, IN 47720-1335
(812) 424-2941
Mailing address
2819 N SAINT JOSEPH AVE, EVANSVILLE, IN 47720-1335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006211A
IN
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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