Individual
LAURIE ELIZABETH MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3025 SW RESERVOIR DR, REDMOND, OR 97756-9481
(541) 548-5066
Mailing address
1106 NW STANNIUM RD, BEND, OR 97701-2141
(541) 408-4944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12434
OR
235Z00000X
Speech-Language Pathologist
6470
CA
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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