| Doctor Name: | LAUREEN M O'HANLON |
| NPI Number: | 1447481742 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ST |
| License Number: | 8386 |
| Business Practice Address: | 2019 Anderson Rd Suite A Davis, CA - 956160772 |
| Business Phone Number: | 5307582222 |
| Business Fax Number: | 5307582283 |
| Mailing Address: | 1301 E Bidwell St, Suite 201 FOLSOM |
| State: | CA |
| Postal Code: | 956303565 |
| Phone Number: | 9169835915 |
| Fax Number: | 9169835925 |
| NPI Enumeration Date: | 08/04/2009 |
| NPI Last Update Date: | 08/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 8386 |
| 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 |