Provider Demographics
NPI:1831829050
Name:PAVER, LAUREN (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:PAVER
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 1:5S989 SHAW RD
Mailing Address - Street 2:
Mailing Address - City:BIG ROCK
Mailing Address - State:IL
Mailing Address - Zip Code:60511-9716
Mailing Address - Country:US
Mailing Address - Phone:630-696-0284
Mailing Address - Fax:
Practice Address - Street 1:1581 SYCAMORE RD
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-1952
Practice Address - Country:US
Practice Address - Phone:989-063-0552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-11
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty