Provider Demographics
NPI:1679734230
Name:VEAL, LAUREN Z (MS- CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:Z
Last Name:VEAL
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 1:15 ANASTASIA DR SE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32548-7218
Mailing Address - Country:US
Mailing Address - Phone:850-499-3523
Mailing Address - Fax:850-863-9974
Practice Address - Street 1:15 ANASTASIA DR SE
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-7218
Practice Address - Country:US
Practice Address - Phone:850-499-3523
Practice Address - Fax:850-863-9974
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8263235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist