Provider Demographics
NPI:1780939025
Name:FUE, LAURIE DON (MS,CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:DON
Last Name:FUE
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 1:417 S WAKARA WAY
Mailing Address - Street 2:STE 1112
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1448
Mailing Address - Country:US
Mailing Address - Phone:801-263-3194
Mailing Address - Fax:
Practice Address - Street 1:596 E 3990 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-1918
Practice Address - Country:US
Practice Address - Phone:801-263-3194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT108295-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist