Provider Demographics
NPI:1093408536
Name:SUNDMAN, LAURA LOVING
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LOVING
Last Name:SUNDMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 MONTE SANO BLVD SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-1105
Mailing Address - Country:US
Mailing Address - Phone:678-613-1397
Mailing Address - Fax:
Practice Address - Street 1:1726 MONTE SANO BLVD SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-1105
Practice Address - Country:US
Practice Address - Phone:678-613-1397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist