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1093231136 NPI number — LAUREN ELIZABETH PROULX MS SLP-CCC

NPI Number: 1093231136
Health Care Provider/Practitioner: LAUREN ELIZABETH PROULX MS SLP-CCC

Information about “1093231136” NPI (LAUREN ELIZABETH PROULX MS SLP-CCC) exists in 1093231136 in HTML format HTML  |  1093231136 in plain Text format TXT  |  1093231136 in PDF (Portable Document Format) PDF  |  1093231136 in an XML format XML  formats.

NPI Number : 1093231136 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093231136",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PROULX",
    "FirstName": "LAUREN",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "MS SLP-CCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SEKAS",
    "OtherFirstName": "LAUREN",
    "OtherMiddleName": "PROULX",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS SLP-CCC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "24600 SILVER CLOUD CT STE 104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONTEREY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93940-6555",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "831-645-7900",
    "MailingAddressFaxNumber": "800-948-6061",
    "FirstLinePracticeLocationAddress": "24600 SILVER CLOUD CT STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONTEREY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93940-6555",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "831-645-7900",
    "PracticeLocationAddressFaxNumber": "800-948-6061",
    "EnumerationDate": "08/21/2017",
    "LastUpdateDate": "03/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "12551",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "29157",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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