Healthcare Provider Details

I. General information

NPI: 1861321010
Provider Name (Legal Business Name): LAUREN HAGY SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6190 BARNES RD
COLORADO SPRINGS CO
80922-2600
US

IV. Provider business mailing address

2011 THRILL HILL RD
VANDALIA IL
62471-3720
US

V. Phone/Fax

Practice location:
  • Phone: 618-322-4037
  • Fax:
Mailing address:
  • Phone: 618-780-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: