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NPI Code Detail

MEDICARE: LAUREN NEWBERRY M.A., CCC-SLP

MEDICARE:   LAUREN  NEWBERRY  M.A., 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 PathologistCOND.2016101OH
2235Z00000XSpeech-Language PathologistSP.12476OH

General Provider Information

NPI Number : 1790141927
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN NEWBERRY M.A., CCC-SLP
Provider Business Mailing Address
First Line : 790 ABBEY CT
Second Line :
City : PICKERINGTON
State : OH
Zip : 43147-8453
Country : US
Telephone Number : 614-570-2528
Fax Number :
Provider Business Practice Location Address
First Line : 1350 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43209-2705
Country : US
Telephone Number : 614-570-2528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2016
Last Update Date : 01/25/2022

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Directions to “ LAUREN NEWBERRY M.A., CCC-SLP” Practice Location

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