Provider Demographics
NPI:1386913481
Name:HULLE, LAURIE (MS, TSHH, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:
Last Name:HULLE
Suffix:
Gender:F
Credentials:MS, TSHH, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 GIBSON RD
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-6709
Mailing Address - Country:US
Mailing Address - Phone:845-355-5871
Mailing Address - Fax:845-355-5876
Practice Address - Street 1:2320 ROUTE 6
Practice Address - Street 2:
Practice Address - City:SLATE HILL
Practice Address - State:NY
Practice Address - Zip Code:10973-3628
Practice Address - Country:US
Practice Address - Phone:845-355-5871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006844-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist