Provider Demographics
NPI:1982496303
Name:COMOLLO, LAURA LIN
Entity type:Individual
Prefix:
First Name:LAURA LIN
Middle Name:
Last Name:COMOLLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 FLETCHER DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-2818
Mailing Address - Country:US
Mailing Address - Phone:302-222-2099
Mailing Address - Fax:
Practice Address - Street 1:432 FLETCHER DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-2818
Practice Address - Country:US
Practice Address - Phone:302-222-2099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist