Provider Demographics
NPI:1508319104
Name:JAMESON, LAUREN TAYLOR-MARIE (MS, CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:TAYLOR-MARIE
Last Name:JAMESON
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 SYDNEY ST
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-8486
Mailing Address - Country:US
Mailing Address - Phone:501-230-7862
Mailing Address - Fax:
Practice Address - Street 1:1307 SYDNEY ST
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-8486
Practice Address - Country:US
Practice Address - Phone:501-230-7862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#P9048235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist