| Doctor Name: | MRS. LAUREN O'LEARY |
| NPI Number: | 1811337827 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 022929 |
| Business Practice Address: | 301 Smithtown Blvd Nesconset, NY - 117672080 |
| Business Phone Number: | 6315880530 |
| Business Fax Number: | |
| Mailing Address: | 216 Fillmore St, MASSAPEQUA PARK |
| State: | NY |
| Postal Code: | 117621512 |
| Phone Number: | 5166396762 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2013 |
| NPI Last Update Date: | 03/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 022929 |
| 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 |