Individual
LAURA HASTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MOREHOUSE AVE, ELKHART, IN 46517-2552
(574) 295-8800
Mailing address
51852 MELWOOD CT, SOUTH BEND, IN 46628-9042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002289A
IN
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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