Provider Demographics
NPI:1447386511
Name:TAPPERSON, LAUREN KAY (MACCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:KAY
Last Name:TAPPERSON
Suffix:
Gender:F
Credentials:MACCCSLP
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:KAY
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MACCCSLP
Mailing Address - Street 1:13 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62521-4424
Mailing Address - Country:US
Mailing Address - Phone:630-740-1188
Mailing Address - Fax:217-422-6201
Practice Address - Street 1:13 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62521-4424
Practice Address - Country:US
Practice Address - Phone:630-740-1188
Practice Address - Fax:217-422-6201
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146008768235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist