Provider Demographics
NPI:1215243241
Name:RINEY, LAURA E (SLP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:E
Last Name:RINEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8390 LATTY AVE
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-3236
Mailing Address - Country:US
Mailing Address - Phone:314-521-6060
Mailing Address - Fax:314-524-9854
Practice Address - Street 1:8390 LATTY AVE
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-3236
Practice Address - Country:US
Practice Address - Phone:314-521-6060
Practice Address - Fax:314-524-9854
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010013993235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist