Provider Demographics
NPI:1699909234
Name:TOSCANO, LAURA M (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:M
Last Name:TOSCANO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:M
Other - Last Name:ROSENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:16 MONFORT DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-3419
Mailing Address - Country:US
Mailing Address - Phone:908-451-7538
Mailing Address - Fax:
Practice Address - Street 1:16 MONFORT DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-3419
Practice Address - Country:US
Practice Address - Phone:908-451-7538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00564700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist