Provider Demographics
NPI:1093965527
Name:FARINA, LAURA ELISABETH (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ELISABETH
Last Name:FARINA
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 KAYS MILL RD
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-2011
Mailing Address - Country:US
Mailing Address - Phone:443-929-7287
Mailing Address - Fax:
Practice Address - Street 1:7218 PARK HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5474
Practice Address - Country:US
Practice Address - Phone:410-318-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-20
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1111235Z00000X
MD2692235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist