Provider Demographics
NPI:1083702690
Name:WARNER, LAURA ELIZABETH (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ELIZABETH
Last Name:WARNER
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4912 HIGBEE AVE NW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2530
Mailing Address - Country:US
Mailing Address - Phone:330-492-2844
Mailing Address - Fax:330-492-0484
Practice Address - Street 1:4912 HIGBEE AVE NW
Practice Address - Street 2:SUITE 200
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2530
Practice Address - Country:US
Practice Address - Phone:330-492-2844
Practice Address - Fax:330-492-0484
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH01134231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP01958Medicare UPIN