Provider Demographics
NPI:1760666234
Name:LAURIN B EPSTEIN, LLC
Entity Type:Organization
Organization Name:LAURIN B EPSTEIN, LLC
Other - Org Name:WORD OF MOUTH THERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIN
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:928-486-9208
Mailing Address - Street 1:PO BOX 901
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86405-0901
Mailing Address - Country:US
Mailing Address - Phone:928-486-9208
Mailing Address - Fax:
Practice Address - Street 1:1810 E CHESTNUT BLVD
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86404-8408
Practice Address - Country:US
Practice Address - Phone:928-486-9208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1281251300000X, 251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251300000XAgenciesLocal Education Agency (LEA)