Provider Demographics
NPI:1255701579
Name:DODD, LAUREN GOLIAS (MA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:GOLIAS
Last Name:DODD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 ROSS ST
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-8345
Mailing Address - Country:US
Mailing Address - Phone:908-307-0988
Mailing Address - Fax:
Practice Address - Street 1:3434 LAURENS RD
Practice Address - Street 2:APT 634
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5273
Practice Address - Country:US
Practice Address - Phone:908-307-0988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5686235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist