Provider Demographics
NPI:1801040704
Name:AURELIA, LAURIE ANNE
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:ANNE
Last Name:AURELIA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LAURIE
Other - Middle Name:ANNE
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:26F CONGRESS ST
Mailing Address - Street 2:#320
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-4171
Mailing Address - Country:US
Mailing Address - Phone:518-361-3830
Mailing Address - Fax:
Practice Address - Street 1:26F CONGRESS ST
Practice Address - Street 2:#320
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-4171
Practice Address - Country:US
Practice Address - Phone:518-361-3830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011117-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist