Doctor Name: | MRS. LAUREN KAY TAPPERSON |
NPI Number: | 1447386511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCCSLP |
License Number: | 146008768 |
Business Practice Address: | 13 Hilltop Dr Decatur, IL - 625214424 |
Business Phone Number: | 6307401188 |
Business Fax Number: | 2174226201 |
Mailing Address: | 13 Hilltop Dr, DECATUR |
State: | IL |
Postal Code: | 625214424 |
Phone Number: | 6307401188 |
Fax Number: | 2174226201 |
NPI Enumeration Date: | 02/25/2007 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146008768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |