Lauryn Doussett
Individual provider Active NPI Speech-Language Pathologist · Trenton, MI
NPI 1043701212 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1043701212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7101008900 (MI)
- Practice address
- 1660 Fort St
Trenton, MI 48183-2003 - Phone
- (734) 304-4159
- NPI assigned
- May 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psygenics Inc | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
7800 W Outer Dr
Fl 3
Detroit, MI 48235
27085 Gratiot Ave
Ste 101
Roseville, MI 48066
Phone (586) 204-5560
1660 Fort St
Trenton, MI 48183
Phone (734) 304-4159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101008900 | MI | Yes |
Addresses
Primary practice location
1660 Fort St
Trenton, MI 48183-2003
Mailing address
7711 Audubon LN
Newport, MI 48166-6601
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All providers in Trenton, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.