Individual
LAUREN M O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140
(215) 707-3663
(215) 707-6417
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3663
(215) 707-6417
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
SL008868
PA
235Z00000X
Speech-Language Pathologist
41YS00652900
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL008868
PA
Other
Enumeration date
10/10/2014
Last updated
05/21/2018
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