Doctor Name: | LAUREN MICHELLE HURLBURT |
NPI Number: | 1073962213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.S. ED., M.ED. |
License Number: | 2202008233 |
Business Practice Address: | 13890 Braddock Rd Ste 207 Centreville, VA - 201212437 |
Business Phone Number: | 5407202261 |
Business Fax Number: | 5407205660 |
Mailing Address: | 13890 Braddock Rd Ste 207, CENTREVILLE |
State: | VA |
Postal Code: | 201212437 |
Phone Number: | 5407202261 |
Fax Number: | 5407205660 |
NPI Enumeration Date: | 06/08/2016 |
NPI Last Update Date: | 06/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202008233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |