Most Relevant Information
Provider Data
| NPI Number: | 1003663816 |
| Provider Name: | LAURIE RENEE SPEED |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 16965 |
Most Important Dates
| Enumeration Date: | 05/01/2024 |
| Last Updated: | 05/29/2024 |
Provider Practice Location
8627 CINNAMON CREEK DR BLDG 401
SAN ANTONIO
TX
782401482
Practice Location Phone/Fax
| Phone: | 2105496663 |
| Fax: | 2106108291 |
Provider Mailing Location
8627 CINNAMON CREEK DR BLDG 401
SAN ANTONIO
TX
782401482
Provider Mailing Phone/Fax
| Phone: | 2105496663 |
| Fax: | 2106108291 |