Healthcare Provider Details

I. General information

NPI: 1326956848
Provider Name (Legal Business Name): LAUREN BURCHETT SLP-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

535 ELM ST
HILLSBORO MO
63050-4322
US

IV. Provider business mailing address

4841 SAINT LOUIS ROCK RD
VILLA RIDGE MO
63089-1116
US

V. Phone/Fax

Practice location:
  • Phone: 314-246-9641
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number2026041785
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: