MEDICARE: LAURA FRANCES MOMNIE SLP

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	235Z00000X	Speech-Language Pathologist	12129296

General Provider Information

NPI Number	:	1669817268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA FRANCES MOMNIE SLP

Provider Business Mailing Address
First Line	:	719 AMELIA CIR
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-2447
Country	:	US
Telephone Number	:	904-980-3204
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 INDIGO ST
Second Line	:
City	:	FERNANDINA BEACH
State	:	FL
Zip	:	32034-3763
Country	:	US
Telephone Number	:	904-502-9121
Fax Number	:

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

Provider Enumeration Date	:	05/08/2013
Last Update Date	:	01/13/2026

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Directions to “ LAURA FRANCES MOMNIE SLP” Practice Location

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