LAURA LYN FULLER (NPI# 1255773933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255773933 |
| Entity Type | Individual |
| Full Name | LAURA LYN FULLER |
| Credential | SLP |
| Practice Address |
3012 N 17th Ave Phoenix AZ 85015-6112 |
| Practice Telephone | 4808248889 |
| Mailing Telephone | 4808248889 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP8363 | AZ | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2950 N Dobson Rd Ste 3, Chandler, AZ 852241819 | 4802086539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689988750 | Laura Palmer Fuller | Social Worker | 640 E 2300 N, North Ogden, UT 84414-2855 | 2010-08-01 |
| 1508337189 | Laura Rizzo Fuller | Occupational Therapist | 2627 Crystal Ave, Findlay, OH 45840-4459 | 2018-12-07 |
| 1548754047 | Laura Kate Fuller | Speech-Language Pathologist | 8564 Jefferson Hwy Ste B, Baton Rouge, LA 70809-2424 | 2018-06-18 |
| 1669845509 | Laura Garrard Fuller | Clinical Nurse Specialist | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2015-10-31 |
| 1194101329 | Laura Jean Fuller | Physician Assistant | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2015-08-11 |
| 1770968240 | Laura Marie Fuller | Dietitian, Registered | 197 N Mccleary Rd, Excelsior Springs, MO 64024-8490 | 2015-07-27 |
| 1114329919 | Laura Marie Fuller | Marriage & Family Therapist | 1849 Sawtelle Blvd, #100, Los Angeles, CA 90025-7006 | 2014-09-23 |
| 1093146086 | Laura Linda Fuller | Speech-Language Pathologist | 485 Chama Trce, Dripping Springs, TX 78620-5311 | 2013-12-02 |
| 1982950929 | Laura A Fuller | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2012-07-27 |
| 1982813150 | Laura L Fuller | Psychologist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-22 |
| Street Address |
3012 N 17TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-6112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770959892 | Dolan Kirkpatrick | Specialist/Technologist | 3012 N 17th Ave, Phoenix, AZ 85015-6112 | 2015-08-12 |
| 1275924219 | Speech Therapy Solutions, LLC | Occupational Therapy Assistant | 3012 N 17th Ave, Phoenix, AZ 85015-6112 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| 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 |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1972137750 | Inspired Therapy LLC | Speech-Language Pathologist | 17606 N 17th Pl Unit 1079, Phoenix, AZ 85022-2184 | 2020-03-02 |
| 1083262331 | Josey Simon | Speech-Language Pathologist | 1333 N 24th St Apt 243, Phoenix, AZ 85008-4676 | 2019-08-29 |
| 1932768892 | Brianna Buckner | Speech-Language Pathologist | 6901 W Sheila Ln, Phoenix, AZ 85033-4452 | 2019-06-13 |
| 1689172942 | Ashley Elizabeth Kinkel | Speech-Language Pathologist | 3126 E Mulberry Dr, Phoenix, AZ 85016-7548 | 2018-01-31 |
| 1659882702 | Pamela Mae Pyle | Speech-Language Pathologist | 13440 N 44th St Apt 1150, Phoenix, AZ 85032-6393 | 2017-10-17 |
| 1477062495 | Kellie Kathleen Voss | Speech-Language Pathologist | 4505 E Palm Ln, Phoenix, AZ 85008-4123 | 2017-09-21 |
| 1679090823 | Margaret Easton | Speech-Language Pathologist | 7022 N 2nd St, Phoenix, AZ 85020-4809 | 2017-08-28 |
| 1457876013 | Paris Hasl | Speech-Language Pathologist | 4545 N 36th St Ste 125a, Phoenix, AZ 85018-3456 | 2017-08-04 |
| 1609390236 | Justin Segura | Speech-Language Pathologist | 9820 N Central Ave Unit 110, Phoenix, AZ 85020-1054 | 2017-07-26 |
| Find all providers in PHOENIX | ||||
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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.