Provider Demographics
NPI:1376374678
Name:SCHMELZER, LAUREN MARISA
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MARISA
Last Name:SCHMELZER
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 1:12060 LAWNVIEW AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3030
Mailing Address - Country:US
Mailing Address - Phone:614-420-0685
Mailing Address - Fax:
Practice Address - Street 1:4700 RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-1606
Practice Address - Country:US
Practice Address - Phone:614-420-0685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20242817-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist