Provider Demographics
NPI:1770040768
Name:STRAUGHAN, LAUREN PONTOPPIDAN (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:PONTOPPIDAN
Last Name:STRAUGHAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:PONTOPIDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:1036 HESPER AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-1552
Mailing Address - Country:US
Mailing Address - Phone:504-717-6008
Mailing Address - Fax:
Practice Address - Street 1:1036 HESPER AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-1552
Practice Address - Country:US
Practice Address - Phone:504-717-6008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-26
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6977235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist