Provider Demographics
NPI:1245599414
Name:HASTINGS, LAUREN R (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:R
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 MAIN ST # 331
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-3484
Mailing Address - Country:US
Mailing Address - Phone:404-550-9458
Mailing Address - Fax:
Practice Address - Street 1:1034 MAIN ST # 331
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-3484
Practice Address - Country:US
Practice Address - Phone:404-550-9458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8460235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist