Provider Demographics
NPI:1104662857
Name:LAUERMAN, ANDREW TOSH (BS SLPA)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:TOSH
Last Name:LAUERMAN
Suffix:
Gender:M
Credentials:BS SLPA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12055 WORD TRADE DRIVE
Mailing Address - Street 2:UNIT 4
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128
Mailing Address - Country:US
Mailing Address - Phone:951-375-7050
Mailing Address - Fax:
Practice Address - Street 1:7525 METROPOLITAN DR STE 308
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4412
Practice Address - Country:US
Practice Address - Phone:619-692-0622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70492355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant