MEDICARE: MISS LAUREN N BLESSINGER SLP

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	46001948A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	46001948A	OTHER	IN	SLP IN LICENSE#

General Provider Information

NPI Number	:	1154556991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LAUREN N BLESSINGER SLP

Provider Business Mailing Address
First Line	:	150 N ROSENBERGER AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47712-6503
Country	:	US
Telephone Number	:	812-476-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 STOCKER DR
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47720-6142
Country	:	US
Telephone Number	:	812-424-8100
Fax Number	:

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

Provider Enumeration Date	:	05/22/2009
Last Update Date	:	05/22/2009

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