Most Relevant Information
Provider Data
| NPI Number: | 1003545898 |
| Provider Name: | LAURA GOLDMAN MIELKE |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/07/2022 |
| Last Updated: | 06/07/2022 |
Provider Practice Location
4180 CARMICHAEL RD
MONTGOMERY
AL
361063600
Practice Location Phone/Fax
| Phone: | 3346250121 |
| Fax: |
Provider Mailing Location
4180 CARMICHAEL RD
MONTGOMERY
AL
361063600
Provider Mailing Phone/Fax
| Phone: | 3346250121 |
| Fax: |