Provider Demographics
NPI:1356673891
Name:SCARROW, LAURIE MCDANIEL (AUD)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:MCDANIEL
Last Name:SCARROW
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:CAROL
Other - Last Name:MCDANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AU D
Mailing Address - Street 1:27 8TH SEAVE
Mailing Address - Street 2:
Mailing Address - City:MOULTRIE
Mailing Address - State:GA
Mailing Address - Zip Code:31768-5500
Mailing Address - Country:US
Mailing Address - Phone:229-985-3277
Mailing Address - Fax:
Practice Address - Street 1:27 8TH SEAVE
Practice Address - Street 2:
Practice Address - City:MOULTRIE
Practice Address - State:GA
Practice Address - Zip Code:31768-5500
Practice Address - Country:US
Practice Address - Phone:229-985-3277
Practice Address - Fax:229-985-3280
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003826237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter