Provider Demographics
NPI:1851169395
Name:RATCLIFF, LAUREN HEARN (MS CCC-CLP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:HEARN
Last Name:RATCLIFF
Suffix:
Gender:F
Credentials:MS CCC-CLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 VALLEY HILL DR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-8705
Mailing Address - Country:US
Mailing Address - Phone:318-381-4077
Mailing Address - Fax:
Practice Address - Street 1:7195 LA-33
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241
Practice Address - Country:US
Practice Address - Phone:318-368-9542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7323235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist