Provider Demographics
NPI:1316133820
Name:SNOW, LAURA A (PHD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:SNOW
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8837 WALLINGFORD AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4105
Mailing Address - Country:US
Mailing Address - Phone:206-501-4435
Mailing Address - Fax:888-972-1107
Practice Address - Street 1:8837 WALLINGFORD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-4105
Practice Address - Country:US
Practice Address - Phone:206-501-4435
Practice Address - Fax:888-972-1107
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003890235Z00000X
WALL0000443890235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist