MEDICARE: MRS. LAUREN MICHELLE TRADER 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
1	235Z00000X	Speech-Language Pathologist	SLP7035	AZ

General Provider Information

NPI Number	:	1912207291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN MICHELLE TRADER M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	2510 E TAXIDEA WAY
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-9077
Country	:	US
Telephone Number	:	602-820-4226
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	:	11/02/2010
Last Update Date	:	01/20/2026

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Directions to “ MRS. LAUREN MICHELLE TRADER M.S. CCC-SLP” Practice Location

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