MEDICARE: LAURA AYERS NIEMIEC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant		TX

General Provider Information

NPI Number	:	1053279117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA AYERS NIEMIEC

Provider Business Mailing Address
First Line	:	42 N SEASONS TRCE
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-5908
Country	:	US
Telephone Number	:	310-683-8825
Fax Number	:

Provider Business Practice Location Address
First Line	:	42 N SEASONS TRCE
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-5908
Country	:	US
Telephone Number	:	310-683-8825
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “ LAURA AYERS NIEMIEC ” Practice Location

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