Individual
LAUREN MICHELLE FELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2949 FOX CHASE LN, MIDLOTHIAN, VA 23112-4400
(631) 335-3149
Mailing address
290 ELWOOD DAVIS RD STE 222, LIVERPOOL, NY 13088-6193
(315) 552-0406
(315) 634-6230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
022921
NY
225XP0200X
Pediatric Occupational Therapist
022921
NY
235Z00000X
Speech-Language Pathologist
Primary
220209938
VA
Other
Enumeration date
01/07/2020
Last updated
12/13/2023
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