Provider Demographics
NPI:1942443940
Name:BUDGAR, LAURIE (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:BUDGAR
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 WATER CRESS CT
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-7371
Mailing Address - Country:US
Mailing Address - Phone:303-604-6025
Mailing Address - Fax:
Practice Address - Street 1:2421 WATER CRESS CT
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-7371
Practice Address - Country:US
Practice Address - Phone:303-604-6025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist