Phillips, Lauren Elizabeth

Phillips, Lauren Elizabeth is an individual health care provider with primary practice located at 90 Air Park Dr , Ronkonkoma NY 11779-7360. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Phillips, Lauren Elizabeth can be contacted via phone (631) 255-5491.

Contact Information

Primary practice address
90 Air Park Dr Ronkonkoma NY 11779-7360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1268453 New York

Profile Details

NPI number 1770713521
LBN Legal business name Phillips, Lauren Elizabeth
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2009
Last updated Sep 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770713521 NPPES
New York MEDICAID 03631436

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