Healthcare Provider Details

I. General information

NPI: 1548937857
Provider Name (Legal Business Name): LAUREN MARIE POWLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 DAYTON ST
HAMILTON OH
45011-3455
US

IV. Provider business mailing address

2880 HYANNIS DR
CINCINNATI OH
45251-2257
US

V. Phone/Fax

Practice location:
  • Phone: 513-887-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.14513
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: