Organization
LAUREN SPEECH LANGUAGE PATHOLOGIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN LINDWALL MA, CCC/SLP (PRESIDENT)
(516) 965-4174
Entity
Organization
Contact information
Practice address
482 KEITH LN, WEST ISLIP, NY 11795-3430
(516) 965-4174
Mailing address
482 KEITH LN, WEST ISLIP, NY 11795-3430
(516) 965-4174
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
014142-1
NY
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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