Healthcare Provider Details

I. General information

NPI: 1245149434
Provider Name (Legal Business Name): LAUREN FERRARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6290 LINTON BLVD STE 100
DELRAY BEACH FL
33484-6409
US

IV. Provider business mailing address

1595 SPRING HARBOR DR APT Q
DELRAY BEACH FL
33445-6888
US

V. Phone/Fax

Practice location:
  • Phone: 561-504-5774
  • Fax:
Mailing address:
  • Phone: 516-993-8586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: