Provider Demographics
NPI:1194331850
Name:HYRE, LAURA ANNE (CF-SLP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANNE
Last Name:HYRE
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 MOYLAN DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-1818
Mailing Address - Country:US
Mailing Address - Phone:301-335-0261
Mailing Address - Fax:
Practice Address - Street 1:3306 MOYLAN DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-1818
Practice Address - Country:US
Practice Address - Phone:301-335-0261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02130L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist