Provider Demographics
NPI:1134642861
Name:SHERRY, LAURA ALAINA (AUD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ALAINA
Last Name:SHERRY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 BONNIE MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-6221
Mailing Address - Country:US
Mailing Address - Phone:443-928-0323
Mailing Address - Fax:
Practice Address - Street 1:1100 DUAL HWY STE A
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5921
Practice Address - Country:US
Practice Address - Phone:301-791-1847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01416231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist