Provider Demographics
NPI:1639656655
Name:GROSS, LAUREN (AUD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:GROSS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:SUSKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQUARE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308
Mailing Address - Country:US
Mailing Address - Phone:330-543-5677
Mailing Address - Fax:330-543-4937
Practice Address - Street 1:1 PERKINS SQUARE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308
Practice Address - Country:US
Practice Address - Phone:330-543-5677
Practice Address - Fax:330-543-4937
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81092231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist