Healthcare Provider Details

I. General information

NPI: 1396669917
Provider Name (Legal Business Name): LAURA NAZIONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 MUNSTER RD
ROCHESTER HILLS MI
48309-2404
US

IV. Provider business mailing address

220 KALHAVEN RD
ROCHESTER HILLS MI
48307-3842
US

V. Phone/Fax

Practice location:
  • Phone: 248-726-4107
  • Fax:
Mailing address:
  • Phone: 248-217-0391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number71011001979
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: