Individual
LAURYN JOY WATERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
4610 25TH ST, COLUMBUS, IN 47203-3239
(812) 314-2378
Mailing address
8801 CEDAR GROVE LN APT 628, INDIANAPOLIS, IN 46237-9813
(616) 498-1155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
10/22/2020
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