Provider Demographics
NPI:1376211722
Name:GOHLKE, LAUREN (CF-SLP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:GOHLKE
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 W MERCER ST
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-5316
Mailing Address - Country:US
Mailing Address - Phone:512-858-3726
Mailing Address - Fax:
Practice Address - Street 1:510 W MERCER ST
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5316
Practice Address - Country:US
Practice Address - Phone:512-858-3726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118205235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist