Individual
LAUREN ALESSANDRA AZELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
Mailing address
628 PINEWOOD DR, VIRGINIA BEACH, VA 23451-4457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007588
VA
235Z00000X
Speech-Language Pathologist
SL011974
PA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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