Provider Demographics
NPI:1477745701
Name:ALEXANDER, LAUREN JADE (MS)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:JADE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 MUNFORD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2532
Mailing Address - Country:US
Mailing Address - Phone:281-799-1603
Mailing Address - Fax:
Practice Address - Street 1:4830 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4033
Practice Address - Country:US
Practice Address - Phone:713-839-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist