Provider Demographics
NPI:1508134941
Name:MERLINO, LAUREN CECILE (LICENSED NYS SPEECH-)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:CECILE
Last Name:MERLINO
Suffix:
Gender:F
Credentials:LICENSED NYS SPEECH-
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8685 ERIE ROAD
Mailing Address - Street 2:CARRIER EDUCATION CENTER
Mailing Address - City:ANGOLA
Mailing Address - State:NY
Mailing Address - Zip Code:14006
Mailing Address - Country:US
Mailing Address - Phone:716-549-4454
Mailing Address - Fax:716-549-0217
Practice Address - Street 1:9520 FREDONIA-STOCKTON ROAD
Practice Address - Street 2:LO GUIDANCE EDUCATION CENTER
Practice Address - City:FREDONIA
Practice Address - State:NY
Practice Address - Zip Code:14063
Practice Address - Country:US
Practice Address - Phone:716-672-4371
Practice Address - Fax:716-679-9557
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006165-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist