Individual
LAINE SAMANTHA HEMMINGER FISHER-GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-3250
Mailing address
1475 CAPITOL ST NE, SALEM, OR 97301-7850
(971) 599-1712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
002146
IA
235Z00000X
Speech-Language Pathologist
Primary
015194
OR
Other
Enumeration date
06/26/2013
Last updated
12/30/2020
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