Provider Demographics
NPI:1699014324
Name:GRAF, LAUREN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:GRAF
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 WATERSTONE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10925-2146
Mailing Address - Country:US
Mailing Address - Phone:845-477-2411
Mailing Address - Fax:
Practice Address - Street 1:80 WATERSTONE RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD LAKE
Practice Address - State:NY
Practice Address - Zip Code:10925-2146
Practice Address - Country:US
Practice Address - Phone:845-477-2411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015928235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist