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Individual
MISS LAUREN R EYSERMANS
Active
Individual
MISS LAUREN R EYSERMANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105972
SLP LICENSE
TX
01
—
12130770
ASHA MEMBERSHIP NUMBER
—
Enumeration date
04/19/2012
Last updated
06/20/2013
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