Provider Demographics
NPI:1558863811
Name:LAURENS, SHERIE (AUD)
Entity type:Individual
Prefix:DR
First Name:SHERIE
Middle Name:
Last Name:LAURENS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 TROPICAL DR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32176-3717
Mailing Address - Country:US
Mailing Address - Phone:407-733-5986
Mailing Address - Fax:
Practice Address - Street 1:61 TROPICAL DR
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32176-3717
Practice Address - Country:US
Practice Address - Phone:407-733-5986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2163231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist