Lauren Boden
Individual provider Active NPI Speech-Language Pathologist · Morris Plains, NJ
NPI 1457549362 · NPPES record last updated Oct 5, 2007
Key facts
- NPI
- 1457549362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS00472500 (NJ)
- Practice address
- 32 Gibraltar Dr
Morris Plains, NJ 07950-1273 - Phone
- (862) 219-5678
- Fax
- (862) 219-5399
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00472500 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childworks Therapy Center | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00472500 | NJ | Yes |
Addresses
Primary practice location
32 Gibraltar Dr
Morris Plains, NJ 07950-1273
Mailing address
32 Gibraltar Dr
Morris Plains, NJ 07950-1273
Phone (862) 219-5678
Other providers in Morris Plains, NJ
- Inderpal Kaur Bhathal
- Rudresh G Bhatt
- Stephanie Jean Birnbaum
- Lisa Black
- Sandy Blumenfeld
- Elizabeth Anne Booth
- Lauren Boskett
- Sandra Bostwick
- Alyssa Brennan
- Marissa Bruno
All providers in Morris Plains, 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 Oct 5, 2007. 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.