Provider Demographics
NPI:1053714519
Name:METHER, LAEL MARIE (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LAEL
Middle Name:MARIE
Last Name:METHER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 S BUNTIN ST
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-4826
Mailing Address - Country:US
Mailing Address - Phone:509-987-4564
Mailing Address - Fax:
Practice Address - Street 1:909 S BUNTIN ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-4826
Practice Address - Country:US
Practice Address - Phone:509-987-4564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-29
Last Update Date:2014-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 60471403235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist