Provider Demographics
NPI:1134437122
Name:PROMER, LAURA SHEEDY (MS)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:SHEEDY
Last Name:PROMER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 VESTAVIA PKWY
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-7714
Mailing Address - Country:US
Mailing Address - Phone:205-919-0955
Mailing Address - Fax:
Practice Address - Street 1:300 VESTAVIA PKWY
Practice Address - Street 2:SUITE 2300
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-7714
Practice Address - Country:US
Practice Address - Phone:205-919-0955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1477235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist