Healthcare Provider Details

I. General information

NPI: 1275839060
Provider Name (Legal Business Name): LAUREN TAYLOR KOTT M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2011
Last Update Date: 04/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E UNIVERSITY DR
ROCHESTER MI
48307-7206
US

IV. Provider business mailing address

500 E UNIVERSITY DR
ROCHESTER MI
48307-7206
US

V. Phone/Fax

Practice location:
  • Phone: 248-926-0909
  • Fax:
Mailing address:
  • Phone: 248-926-0909
  • Fax:

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: