Individual
LAURA ELIZABETH MAINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
954 MAIN ST, BRANFORD, CT 06405-7727
(203) 481-0003
Mailing address
31 BROADWAY, NORTH HAVEN, CT 06473-2304
(860) 402-3399
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
000634
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000634
STATE OF CT LICENSE
CT
Enumeration date
07/31/2017
Last updated
06/05/2024
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