Provider Demographics
NPI:1730385030
Name:BIEGNER, LAURA MARIE (MA,CCC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIE
Last Name:BIEGNER
Suffix:
Gender:F
Credentials:MA,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 VANCE DR
Mailing Address - Street 2:SUITE250
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2118
Mailing Address - Country:US
Mailing Address - Phone:303-438-1708
Mailing Address - Fax:
Practice Address - Street 1:7850 VANCE DR
Practice Address - Street 2:SUITE250
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2118
Practice Address - Country:US
Practice Address - Phone:303-438-1708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07001639Medicaid