Provider Demographics
NPI:1093337016
Name:D'SURNEY, LAURA MEREDITH
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MEREDITH
Last Name:D'SURNEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MEREDITH
Other - Last Name:SOWDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5112 BELMONT PARK RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-2549
Mailing Address - Country:US
Mailing Address - Phone:540-330-2242
Mailing Address - Fax:
Practice Address - Street 1:5112 BELMONT PARK RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-2549
Practice Address - Country:US
Practice Address - Phone:540-330-2242
Practice Address - Fax:804-601-4774
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204000447235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist