Active NPI
Donna M. Laurich, M.A.,CCC-SLP
- Speech-Language Pathologist
- St Petersburg, FL
National Provider Identifier
1730375361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA7393
- Practice address
- 6081 Bahia del Mar Cir
St Petersburg, FL 33715-3307 - Phone
- (727) 867-3498
- NPI assigned
- Sep 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA7393 | FL | Primary |
Addresses
Primary practice location
6081 Bahia del Mar Cir
St Petersburg, FL 33715-3307
Mailing address
138 Pineview Dr
Marquette, MI 49855-8610
Phone (906) 360-1952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA7393 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1730375361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 PINEVIEW DR",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498558610",
"telephone_number": "906-360-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6081 BAHIA DEL MAR CIR",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337153307",
"telephone_number": "727-867-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURICH",
"first_name": "DONNA",
"middle_name": "M.",
"credential": "M.A.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA7393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.