Provider Demographics
NPI:1013443662
Name:HAYMAN, LAURA LAINE CULBREATH
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LAINE CULBREATH
Last Name:HAYMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:LAINE
Other - Last Name:CULBREATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:839 OBSIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:DEER LODGE
Mailing Address - State:MT
Mailing Address - Zip Code:59722-9652
Mailing Address - Country:US
Mailing Address - Phone:406-565-2006
Mailing Address - Fax:
Practice Address - Street 1:130 US HIGHWAY 12 W
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:MT
Practice Address - Zip Code:59731-9704
Practice Address - Country:US
Practice Address - Phone:757-390-9639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist