MEDICARE: MRS. LAUREN SKJOTT EDWARDS MS, SLP-CCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	108965	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	39-2167198	OTHER	TX	SPEECH LANGUAGE PATHOLOGY

General Provider Information

NPI Number	:	1053205120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN SKJOTT EDWARDS MS, SLP-CCC

Provider Business Mailing Address
First Line	:	9640 SHOREVIEW RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-4237
Country	:	US
Telephone Number	:	713-444-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	9640 SHOREVIEW RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-4237
Country	:	US
Telephone Number	:	713-444-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	06/04/2025

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Directions to “ MRS. LAUREN SKJOTT EDWARDS MS, SLP-CCC” Practice Location

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