Provider Demographics
NPI:1053821231
Name:ROBERTS, LAUREN SATTERFIELD
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:SATTERFIELD
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9757 CERULEAN SINKING FORK RD
Mailing Address - Street 2:
Mailing Address - City:CERULEAN
Mailing Address - State:KY
Mailing Address - Zip Code:42215-7489
Mailing Address - Country:US
Mailing Address - Phone:270-305-4500
Mailing Address - Fax:
Practice Address - Street 1:9757 CERULEAN SINKING FORK RD
Practice Address - Street 2:
Practice Address - City:CERULEAN
Practice Address - State:KY
Practice Address - Zip Code:42215-7489
Practice Address - Country:US
Practice Address - Phone:270-305-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist