Provider Demographics
NPI:1619120094
Name:HEBERT, LAUREN MCDONNER (MS, SLP/L CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MCDONNER
Last Name:HEBERT
Suffix:
Gender:F
Credentials:MS, SLP/L CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32645 N CORBIN RD
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-4609
Mailing Address - Country:US
Mailing Address - Phone:225-686-9169
Mailing Address - Fax:225-686-9170
Practice Address - Street 1:13909 FLORIDA BLVD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:LA
Practice Address - Zip Code:70754-6340
Practice Address - Country:US
Practice Address - Phone:225-686-7044
Practice Address - Fax:225-686-3052
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7026235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist