Most Relevant Information
Provider Data
| NPI Number: | 1003499518 |
| Provider Name: | LAURA ELIZABETH SUMMERS M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 22030 |
Most Important Dates
| Enumeration Date: | 05/03/2021 |
| Last Updated: | 01/17/2024 |
Provider Practice Location
24 HOLLYWOOD BLVD SW STE 7
FORT WALTON BEACH
FL
325484893
Practice Location Phone/Fax
| Phone: | 8502267411 |
| Fax: |
Provider Mailing Location
24 HOLLYWOOD BLVD SW STE 7
FORT WALTON BEACH
FL
325484893
Provider Mailing Phone/Fax
| Phone: | 8502267411 |
| Fax: |