Provider Demographics
NPI:1114395720
Name:CIATTEI, LAURA MICHELE (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:MICHELE
Last Name:CIATTEI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BURL CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-1101
Mailing Address - Country:US
Mailing Address - Phone:443-465-5527
Mailing Address - Fax:
Practice Address - Street 1:7 BURL CT
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-1101
Practice Address - Country:US
Practice Address - Phone:443-465-5527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07948235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDAHY-797014001OtherPROLIABILITY- MERCER