Provider Demographics
NPI:1326185851
Name:LAUCHAIRE, JENNIFER MARGARET (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARGARET
Last Name:LAUCHAIRE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:CMR 445 BOX 18
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09046
Mailing Address - Country:DE
Mailing Address - Phone:0703-115-2697
Mailing Address - Fax:0703-115-2765
Practice Address - Street 1:PANZER KASERNE 2996
Practice Address - Street 2:CMR 445
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09046
Practice Address - Country:DE
Practice Address - Phone:0703-115-2697
Practice Address - Fax:0703-115-2765
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 14374235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist