Healthcare Provider Details

I. General information

NPI: 1366793564
Provider Name (Legal Business Name): LAUREN A TOWNSEND MS, CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2012
Last Update Date: 09/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 6TH ST S
ST PETERSBURG FL
33701-4827
US

IV. Provider business mailing address

2292 BURGUNDY TER
ST PETERSBURG FL
33714-2079
US

V. Phone/Fax

Practice location:
  • Phone: 727-898-7451
  • Fax:
Mailing address:
  • Phone: 727-898-7451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ6024
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: