LAURIE PETERSON (NPI# 1811412810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811412810 |
| Entity Type | Individual |
| Full Name | LAURIE PETERSON |
| Credential | MED |
| Practice Address |
121b Lee St Carrollton GA 30117-3314 |
| Practice Telephone | 7708308622 |
| Practice Fax Number | 7708329031 |
| Mailing Telephone | 7708308622 |
| Mailing Fax Number | 7708329031 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP009608 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003193324A | 05 | |
| GA | AMERIGROUP | 05026948 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407227036 | Laurie Peterson | Social Worker | 4380 Coral Gables Dr, Parma, OH 44134-6316 | 2015-10-08 |
| 1851401434 | Laurie Louise Peterson | Emergency Medicine | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2006-08-30 |
| 1205898715 | Laurie Lee Peterson | Physician Assistant | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2006-04-03 |
| Street Address |
121B LEE ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710161179 | Jenny Lyle Gordon | Speech-Language Pathologist | 121b Lee St, Carrollton, GA 30117-3314 | 2007-12-20 |
| 1952821027 | Hannah Morin | Speech-Language Pathologist | 121b Lee St, Carrollton, GA 30117-3314 | 2017-06-21 |
| 1942595525 | Amber P Owensby | Speech-Language Pathologist | 121b Lee St, Carrollton, GA 30117-3314 | 2011-06-13 |
| 1003120569 | Aleah Norton | Speech-Language Pathologist | 121b Lee St, Carrollton, GA 30117-3314 | 2010-07-27 |
| 1710202031 | Mary E Ethridge | Speech-Language Pathologist | 121b Lee St, Carrollton, GA 30117-3314 | 2010-03-30 |
| 1346574928 | Lisa J Eady | Speech-Language Pathologist | 121b Lee St, Carrollton, GA 30117-3314 | 2009-09-29 |
| 1568697613 | Pediatric Therapy Partners of Wga | Physical Therapist | 121b Lee St, Carrollton, GA 30117-3314 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441094 | Danielle Block | Speech-Language Pathologist | 2015 Alsace Dr, Carrollton, TX 75007-5517 | 2020-09-09 |
| 1780298166 | Dallas Sante | Speech-Language Pathologist | 14440 New Towne Haven Ln, Carrollton, VA 23314-2910 | 2020-09-03 |
| 1295383610 | Julie Anne Sudderth | Speech-Language Pathologist | 2127 Rockwood Dr, Carrollton, TX 75007-5723 | 2019-08-28 |
| 1144704388 | Naomi Asai | Speech-Language Pathologist | 4229 Hunt Dr Apt 3406, Carrollton, TX 75010-3260 | 2018-09-24 |
| 1740768043 | Diana Elizabeth Cruz | Speech-Language Pathologist | 2500 Guerrero Dr Apt 1021, Carrollton, TX 75006-7861 | 2018-07-30 |
| 1780197046 | Luke Mcclendon | Speech-Language Pathologist | 1403 W Peters Colony Rd, Carrollton, TX 75007-2750 | 2017-11-08 |
| 1164966594 | Ashley Lindsey | Speech-Language Pathologist | 2126 Antibes Dr, Carrollton, TX 75006-4326 | 2016-12-04 |
| 1538618491 | Rebecca Stone | Speech-Language Pathologist | 4125 Creekmeadow Dr, Carrollton, TX 75010-1110 | 2016-10-03 |
| 1609257427 | Lucinda Marie Smith | Speech-Language Pathologist | 1202 Black Berry Ln, Carrollton, MO 64633-9131 | 2015-06-17 |
| 1356728257 | Salima Dhamani | Speech-Language Pathologist | 1337 Dallshan Dr, Carrollton, TX 75007-1109 | 2015-04-29 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.