Provider Demographics
NPI:1609218874
Name:BRITT, LAUREN (MS/CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:BRITT
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 S FLORISSANT RD
Mailing Address - Street 2:APT 4N
Mailing Address - City:FERGUSON
Mailing Address - State:MO
Mailing Address - Zip Code:63135-2787
Mailing Address - Country:US
Mailing Address - Phone:636-795-1527
Mailing Address - Fax:
Practice Address - Street 1:419 S FLORISSANT RD
Practice Address - Street 2:APT 4N
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-2787
Practice Address - Country:US
Practice Address - Phone:636-795-1527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-29
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist