Provider Demographics
NPI:1013412303
Name:HARRIMAN, LAUREN BROOKE (MS CFY-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:BROOKE
Last Name:HARRIMAN
Suffix:
Gender:F
Credentials:MS CFY-SLP
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:BROOKE
Other - Last Name:COLVIN-MARRIED NAME
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS CFY-SLP
Mailing Address - Street 1:938 E PARKER ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71646-3331
Mailing Address - Country:US
Mailing Address - Phone:662-803-8343
Mailing Address - Fax:
Practice Address - Street 1:250 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-8891
Practice Address - Country:US
Practice Address - Phone:870-367-5369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist