Doctor Name: | MS. LAUREN J MCINDOO |
NPI Number: | 1194854109 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP, LIC |
License Number: | 008591-1 |
Business Practice Address: | 215 Bassett St Syracuse, NY - 132102113 |
Business Phone Number: | 3154724404 |
Business Fax Number: | 3154782337 |
Mailing Address: | 7502 Plum Hollow Cir, LIVERPOOL |
State: | NY |
Postal Code: | 130903625 |
Phone Number: | 3154130080 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 008591-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |