Most Relevant Information
Provider Data
| NPI Number: | 1003042557 |
| Provider Name: | LAURA THORNTON SHORES M.A., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP000003675 |
Most Important Dates
| Enumeration Date: | 06/10/2009 |
| Last Updated: | 06/10/2009 |
Provider Practice Location
7901 POPLAR AVENUE
GERMANTOWN
TN
381386005
Practice Location Phone/Fax
| Phone: | 9017582228 |
| Fax: | 9015316735 |
Provider Mailing Location
7901 POPLAR AVENUE
GERMANTOWN
TN
381386005
Provider Mailing Phone/Fax
| Phone: | 9017582228 |
| Fax: | 9015316735 |