Provider Demographics
NPI:1780494815
Name:CORRIGAN, LAUREN WEISS (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:WEISS
Last Name:CORRIGAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5055 S LEMAY AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-9401
Mailing Address - Country:US
Mailing Address - Phone:970-223-3552
Mailing Address - Fax:
Practice Address - Street 1:1090 43RD AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-1410
Practice Address - Country:US
Practice Address - Phone:970-646-4850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002088235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist