Provider Demographics
NPI:1770298259
Name:KNOTT, LAUREN ELIZABETH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:KNOTT
Suffix:
Gender:
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 1:207 HIGHPOINT AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-1444
Mailing Address - Country:US
Mailing Address - Phone:401-683-8063
Mailing Address - Fax:401-324-5618
Practice Address - Street 1:207 HIGHPOINT AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-1444
Practice Address - Country:US
Practice Address - Phone:401-683-8063
Practice Address - Fax:401-324-5618
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78713-SP-SL235Z00000X
RISP01945235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist