Provider Demographics
NPI:1871048702
Name:LAIRD, ANNE (MS)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:LAIRD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:M
Other - Last Name:LAIRD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:244 SILK HILL CT
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-2577
Mailing Address - Country:US
Mailing Address - Phone:925-997-7712
Mailing Address - Fax:
Practice Address - Street 1:244 SILK HILL CT
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94582-2577
Practice Address - Country:US
Practice Address - Phone:925-997-7712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-21
Last Update Date:2016-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20369235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist