Provider Demographics
NPI:1114003571
Name:KARAM, LAURIE M (MED,CCC-SP)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:M
Last Name:KARAM
Suffix:
Gender:F
Credentials:MED,CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 W POPLAR ST
Mailing Address - Street 2:GRIFFIN SPEECH SERVICES
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-3031
Mailing Address - Country:US
Mailing Address - Phone:770-229-8747
Mailing Address - Fax:770-229-8747
Practice Address - Street 1:110 W POPLAR ST
Practice Address - Street 2:GRIFFIN SPEECH SERVICES
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-3031
Practice Address - Country:US
Practice Address - Phone:770-229-8747
Practice Address - Fax:770-229-8747
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1412235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00583294BMedicaid