Individual
MRS. LAUREN STREET POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
751 WALNUT KNOLL LN, CORDOVA, TN 38018-6301
(901) 309-5219
(901) 309-5265
Mailing address
751 WALNUT KNOLL LN, CORDOVA, TN 38018-6301
(901) 309-5219
(901) 309-5265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3275
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4120655
BCBS OF TN PIN
TN
Enumeration date
09/21/2006
Last updated
07/08/2007
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