Individual
MISS LAURA ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC SLP
Contact information
Practice address
1663 STEPHENSON HWY, TROY, MI 48083-2169
(248) 327-6619
Mailing address
1680 GRAEFIELD RD, BIRMINGHAM, MI 48009-7541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548591670
PRIVATE INSURANCE
—
Enumeration date
01/29/2010
Last updated
01/07/2019
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