Provider Demographics
NPI:1780844357
Name:PHIPPS, LAUREN V
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:V
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 W FLETCHER ST
Mailing Address - Street 2:UNIT 3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-2113
Mailing Address - Country:US
Mailing Address - Phone:704-737-3798
Mailing Address - Fax:
Practice Address - Street 1:805 THATCHER WAY
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-1233
Practice Address - Country:US
Practice Address - Phone:919-870-9591
Practice Address - Fax:919-846-4705
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist