Provider Demographics
NPI:1215290986
Name:PINNER, LAURA J (MS, CCC, SLP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:PINNER
Suffix:
Gender:F
Credentials:MS, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E 5TH ST
Mailing Address - Street 2:IRONS BUILDING ECU OGLESBY DRIVE
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-2502
Mailing Address - Country:US
Mailing Address - Phone:252-737-1226
Mailing Address - Fax:
Practice Address - Street 1:1000 E 5TH ST
Practice Address - Street 2:IRONS BUILDING ECU OGLESBY DRIVE
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-2502
Practice Address - Country:US
Practice Address - Phone:252-737-1226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9618235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist