Healthcare Provider Details
I. General information
NPI: 1205503596
Provider Name (Legal Business Name): LAUREN MARGARET COUNIHAN M.S.CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/25/2021
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
184 HIGH ST
BOSTON MA
02110
US
IV. Provider business mailing address
1057 MANOR VUE CT
DELMONT PA
15626
US
V. Phone/Fax
- Phone: 800-337-5965
- Fax: 330-953-2384
- Phone: 330-953-2383
- Fax: 330-953-2384
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SP.14358 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | 14381034 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: