Healthcare Provider Details

I. General information

NPI: 1003408378
Provider Name (Legal Business Name): LAURA KAYE HAMDANI M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2021
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61682 DAILEY RD
CASSOPOLIS MI
49031-9648
US

IV. Provider business mailing address

508 LOVELAND PASS CT
OSCEOLA IN
46561-8425
US

V. Phone/Fax

Practice location:
  • Phone: 269-445-3891
  • Fax:
Mailing address:
  • Phone: 574-370-4326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101007990
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22004732A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: