Provider Demographics
NPI:1780837138
Name:DUNBAR, LAUREN ALANE (CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ALANE
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2026
Mailing Address - Country:US
Mailing Address - Phone:610-666-6088
Mailing Address - Fax:
Practice Address - Street 1:57 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:PA
Practice Address - Zip Code:19403-2026
Practice Address - Country:US
Practice Address - Phone:610-666-6088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004767L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist