Provider Demographics
NPI:1538437785
Name:THROENER, LAURA ASHLEY (MSE, MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ASHLEY
Last Name:THROENER
Suffix:
Gender:F
Credentials:MSE, MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 ARNOLD PALMER LN
Mailing Address - Street 2:
Mailing Address - City:ELK POINT
Mailing Address - State:SD
Mailing Address - Zip Code:57025-2312
Mailing Address - Country:US
Mailing Address - Phone:402-660-1297
Mailing Address - Fax:
Practice Address - Street 1:210 W 39TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-3740
Practice Address - Country:US
Practice Address - Phone:402-494-2433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2011008185235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist