Provider Demographics
NPI:1063455467
Name:SADLER, LAURA LEE (AUD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LEE
Last Name:SADLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:LEE
Other - Last Name:SOLTISZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7251 ENGLE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MIDDLEBURG HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130
Mailing Address - Country:US
Mailing Address - Phone:440-234-5515
Mailing Address - Fax:440-234-5540
Practice Address - Street 1:7251 ENGLE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:MIDDLEBURG HTS
Practice Address - State:OH
Practice Address - Zip Code:44130
Practice Address - Country:US
Practice Address - Phone:440-234-5515
Practice Address - Fax:440-234-5540
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA0388231HA2400X
OHA-0388231HA2500X, 237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH141905278OtherTRICARE
OH107283OtherKAISER PERMANENTE
OH1905278028OtherCARE SOURCE
OH2466264Medicaid
OH9122640OtherCIGNA HEALTHCARE
OH0007902648OtherAETNA USHEALTHCARE
OH000000331371OtherANTHEM BC AND BS
OH000000331371OtherANTHEM BC AND BS