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NPI Code Detail

MEDICARE: MRS. LAUREN BROGAN M.S., CCC-SLP

MEDICARE:  MRS. LAUREN  BROGAN  M.S., CCC-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
1235Z00000XSpeech-Language PathologistAZ

General Provider Information

NPI Number : 1659761641
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN BROGAN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 1 W ELLIOT RD STE 109
Second Line :
City : TEMPE
State : AZ
Zip : 85284-1310
Country : US
Telephone Number : 480-374-4341
Fax Number :
Provider Business Practice Location Address
First Line : 1 W ELLIOT RD STE 109
Second Line :
City : TEMPE
State : AZ
Zip : 85284-1310
Country : US
Telephone Number : 480-374-4341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2015
Last Update Date : 01/27/2021

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Directions to “ MRS. LAUREN BROGAN M.S., CCC-SLP” Practice Location

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