Provider Demographics
NPI:1366116998
Name:NGUYEN, LAURA KARI (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:KARI
Last Name:NGUYEN
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 1:2306 DOVEHILL DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-4314
Mailing Address - Country:US
Mailing Address - Phone:805-889-3422
Mailing Address - Fax:
Practice Address - Street 1:2306 DOVEHILL DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-4314
Practice Address - Country:US
Practice Address - Phone:805-889-3422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-06
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117063235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist