Provider Demographics
NPI:1942052576
Name:LAURENT, LINDSLAY (SLP)
Entity Type:Individual
Prefix:
First Name:LINDSLAY
Middle Name:
Last Name:LAURENT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 ACADEMY LN
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-1302
Mailing Address - Country:US
Mailing Address - Phone:267-693-8148
Mailing Address - Fax:
Practice Address - Street 1:148 ACADEMY LN
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-1302
Practice Address - Country:US
Practice Address - Phone:267-693-8148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL014493235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist