Provider Demographics
NPI:1699021675
Name:BROWN, LAUREN E (MS, SLP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4354 N 82ND ST
Mailing Address - Street 2:UNIT 109
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-2742
Mailing Address - Country:US
Mailing Address - Phone:314-566-5188
Mailing Address - Fax:
Practice Address - Street 1:4354 N 82ND ST
Practice Address - Street 2:UNIT 109
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-2742
Practice Address - Country:US
Practice Address - Phone:314-566-5188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP7450235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist