Provider Demographics
NPI:1417243304
Name:SHAFFER, LAUREN BAKER (MED CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:BAKER
Last Name:SHAFFER
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 PINKSTON CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-6355
Mailing Address - Country:US
Mailing Address - Phone:334-826-0057
Mailing Address - Fax:
Practice Address - Street 1:2290 MOORES MILL RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8431
Practice Address - Country:US
Practice Address - Phone:334-209-2009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist