Provider Demographics
NPI:1578119079
Name:MEYER, LAURA ANN MARTIN
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN MARTIN
Last Name:MEYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S MICHIGAN AVE UNIT 1308
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-4203
Mailing Address - Country:US
Mailing Address - Phone:773-720-0646
Mailing Address - Fax:
Practice Address - Street 1:310 S MICHIGAN AVE UNIT 1308
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-4203
Practice Address - Country:US
Practice Address - Phone:773-720-0646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist