| Doctor Name: | DR. LAURA RENEE TILLEY |
| NPI Number: | 1215100391 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AUD, CCC/A |
| License Number: | 60525 |
| Business Practice Address: | 6809 W Nw Hwy Dallas, TX - 752254202 |
| Business Phone Number: | 2146915466 |
| Business Fax Number: | 2146917250 |
| Mailing Address: | 400 S Henderson St, FORT WORTH |
| State: | TX |
| Postal Code: | 761041017 |
| Phone Number: | 8173352583 |
| Fax Number: | 8173352597 |
| NPI Enumeration Date: | 04/09/2008 |
| NPI Last Update Date: | 04/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 60525 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |