Provider Demographics
NPI:1598387144
Name:SCHMIDT, LAURA MARY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MARY
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MARY
Other - Last Name:HADGINSKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:365 PARAMUS RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1511
Mailing Address - Country:US
Mailing Address - Phone:201-960-5451
Mailing Address - Fax:
Practice Address - Street 1:365 PARAMUS RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1511
Practice Address - Country:US
Practice Address - Phone:201-960-5451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-16
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0267521235Z00000X
PASL012805235Z00000X
NJ41YS00886300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist