Lauren Culkin, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · West Milford, NJ
NPI 1376010298 · NPPES record last updated Mar 4, 2019
Key facts
- NPI
- 1376010298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS00821500 (NJ)
- Practice address
- 107 Broadway
West Milford, NJ 07480-4319 - Phone
- (484) 467-6614
- NPI assigned
- Oct 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00821500 | NJ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 41YS00821500 | NJ | Yes |
Addresses
Primary practice location
107 Broadway
West Milford, NJ 07480-4319
Mailing address
107 Broadway
West Milford, NJ 07480-4319
Phone (484) 467-6614
Other names
- Lauren Rustad
Other providers in West Milford, NJ
- Patricia J Clune
- Community Expo LLC
- Community Expo LLC
- Complete Care at Milford Manor LLC
- Olivia A Connell
- Kelly Ann Dauenheimer
- Katelyn Daymon
- Kenneth James Debaun
- Cathy Della Pesca
- Luis Francisco Delorbe
All providers in West Milford, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2019. 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.