Provider Demographics
NPI:1295986867
Name:AUBIN, LAURA ANN (MA, CCC-A)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANN
Last Name:AUBIN
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:A
Other - Last Name:MAKLED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1202 WALTON BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6918
Mailing Address - Country:US
Mailing Address - Phone:248-652-0044
Mailing Address - Fax:248-652-1884
Practice Address - Street 1:1202 WALTON BLVD STE 201
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-6918
Practice Address - Country:US
Practice Address - Phone:248-652-0044
Practice Address - Fax:248-652-1884
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000486231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist