Provider Demographics
NPI:1831608991
Name:FIFIELD, LAUREL K (AUD)
Entity type:Individual
Prefix:
First Name:LAUREL
Middle Name:K
Last Name:FIFIELD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LAUREL
Other - Middle Name:K
Other - Last Name:DONALDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:825 S TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1567
Mailing Address - Country:US
Mailing Address - Phone:314-977-0132
Mailing Address - Fax:309-624-4010
Practice Address - Street 1:825 S TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1567
Practice Address - Country:US
Practice Address - Phone:314-977-0132
Practice Address - Fax:314-977-0025
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024019233231H00000X
IL147001644231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist