Provider Demographics
NPI:1437212750
Name:CURTIS, LAURA S (AUD CCC-A)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:S
Last Name:CURTIS
Suffix:
Gender:F
Credentials:AUD CCC-A
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:S
Other - Last Name:MAULE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCCA
Mailing Address - Street 1:4835 HAGGERTY RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3902
Mailing Address - Country:US
Mailing Address - Phone:248-956-7699
Mailing Address - Fax:248-671-5034
Practice Address - Street 1:4835 HAGGERTY RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-3902
Practice Address - Country:US
Practice Address - Phone:248-956-7699
Practice Address - Fax:248-671-5034
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILC000221231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
640E019240OtherBCBS