Doctor Name: | LAUREN ROSSON |
NPI Number: | 1164868196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-A |
License Number: | SLP-A FOR SP#2375 |
Business Practice Address: | 113 Woodberry Crossett, AR - 716353926 |
Business Phone Number: | 8702243585 |
Business Fax Number: | |
Mailing Address: | 113 Woodberry, CROSSETT |
State: | AR |
Postal Code: | 716353926 |
Phone Number: | 8702243585 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2013 |
NPI Last Update Date: | 05/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SLP-A FOR SP#2375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |