Provider Demographics
NPI:1649550153
Name:GEORGE, LAUREN HIRSCH (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:HIRSCH
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:TEAGUE
Mailing Address - State:TX
Mailing Address - Zip Code:75860-1218
Mailing Address - Country:US
Mailing Address - Phone:254-739-1300
Mailing Address - Fax:
Practice Address - Street 1:420 N 10TH AVE
Practice Address - Street 2:
Practice Address - City:TEAGUE
Practice Address - State:TX
Practice Address - Zip Code:75860-1218
Practice Address - Country:US
Practice Address - Phone:254-739-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107751235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist