Individual
LAURA AMANDA MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., CCC-SLP
Contact information
Practice address
2118 SANDY LN, LAUREL, MS 39443-9087
(601) 577-4885
Mailing address
2118 SANDY LN, LAUREL, MS 39443-9087
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4517
MS
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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