Provider Demographics
NPI:1720498231
Name:SCHMIDTBERGER, LAURA (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:SCHMIDTBERGER
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2617 CLIFFSIDE LN NW APT K202
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8702
Mailing Address - Country:US
Mailing Address - Phone:7853-120-0166
Mailing Address - Fax:
Practice Address - Street 1:5202 OLYMPIC DR NW STE 100
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1727
Practice Address - Country:US
Practice Address - Phone:253-851-0007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1588237700000X
WASP607653122355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist