Individual
LAUREN SEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
135 CEDARBROOK DR, PAINESVILLE, OH 44077-2810
(440) 392-5276
Mailing address
600 FIDDLERS WAY, PAINESVILLE, OH 44077-1281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14493
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP.14493
OHIO DEPARTMENT OF EDUCATION
OH
Enumeration date
08/23/2021
Last updated
08/23/2021
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