Provider Demographics
NPI:1104317577
Name:KOHLMAN, LAURA ANNE (AUD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANNE
Last Name:KOHLMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ANNE
Other - Last Name:GRINSTEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2591 BAGLYOS CIR STE C48
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8058
Mailing Address - Country:US
Mailing Address - Phone:610-866-2929
Mailing Address - Fax:
Practice Address - Street 1:2591 BAGLYOS CIR STE C48
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8058
Practice Address - Country:US
Practice Address - Phone:610-866-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-22
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist