Provider Demographics
NPI:1689660722
Name:GAUGER, LAURIE M (PHD)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:M
Last Name:GAUGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HAWTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-3225
Mailing Address - Country:US
Mailing Address - Phone:919-309-7959
Mailing Address - Fax:
Practice Address - Street 1:402 BERRYHILL DR
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2431
Practice Address - Country:US
Practice Address - Phone:919-968-2532
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6829235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist