Doctor Name: | MRS. LAUREN SHANK |
NPI Number: | 1336567718 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 14027160 |
Business Practice Address: | 1r Newbury St #302 Peabody, MA - 019603864 |
Business Phone Number: | 9785354655 |
Business Fax Number: | |
Mailing Address: | 76 Kendall Ct, BEDFORD |
State: | MA |
Postal Code: | 017301681 |
Phone Number: | 5085726608 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2014 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 14027160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |