Doctor Name: | MS. LAURIE LENNON |
NPI Number: | 1326211764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP13148 |
Business Practice Address: | 1915 W Orangewood Ave Ste 200 Orange, CA - 928682047 |
Business Phone Number: | 7144562986 |
Business Fax Number: | 7144562979 |
Mailing Address: | Po Box 54559, LOS ANGELES |
State: | CA |
Postal Code: | 900540559 |
Phone Number: | 7144562986 |
Fax Number: | 7144562979 |
NPI Enumeration Date: | 04/07/2008 |
NPI Last Update Date: | 04/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP13148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |