Healthcare Provider Details

I. General information

NPI: 1114404910
Provider Name (Legal Business Name): LAURA M FOLLMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7338 HOMESTEAD AVE S
COTTAGE GROVE MN
55016-1925
US

IV. Provider business mailing address

7338 HOMESTEAD AVE S
COTTAGE GROVE MN
55016-1925
US

V. Phone/Fax

Practice location:
  • Phone: 713-492-1437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberLICC-4422
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number114828
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: