Doctor Name: | MRS. LAUREN ELIZABETH EWING |
NPI Number: | 1003292566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 46002829A |
Business Practice Address: | 2701 Chestnut Station Ct Paragon Rehabilitation Louisville, KY - 402996395 |
Business Phone Number: | 8003351060 |
Business Fax Number: | |
Mailing Address: | 1050 Kelli Dr Apt 1c, COLUMBUS |
State: | IN |
Postal Code: | 472016143 |
Phone Number: | 5749030050 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2015 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 46002829A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |