Healthcare Provider Details

I. General information

NPI: 1710561246
Provider Name (Legal Business Name): LAUREN ASHLEY LAHEY M.S., CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 E 75TH ST STE 206
INDIANAPOLIS IN
46250-2700
US

IV. Provider business mailing address

6330 E 75TH ST STE 206
INDIANAPOLIS IN
46250-2700
US

V. Phone/Fax

Practice location:
  • Phone: 317-284-1166
  • Fax: 317-284-1559
Mailing address:
  • Phone: 317-284-1166
  • Fax: 317-284-1559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: