Individual
LAUREN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1805 OLD MILITARY RD, CONWAY, AR 72034-8654
(501) 450-4835
Mailing address
1805 OLD MILITARY RD, CONWAY, AR 72034-8654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#3201
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207758721
—
AR
Enumeration date
06/23/2015
Last updated
06/23/2015
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