Lauren Donohoe, M.A., CCC-SLP, TSSLD

Individual provider Active NPI Speech-Language Pathologist · Oakland Gardens, NY

NPI 1477097467 · NPPES record last updated Dec 8, 2016

Key facts

NPI
1477097467
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
024456 (NY)
Practice address
6445 218TH St
Oakland Gardens, NY 11364-2237
Phone
(718) 423-8395
Fax
(718) 423-8472
NPI assigned
Dec 8, 2016
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 Arts

State licenses

LicenseStateTypeSpecialty
024456NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 024456 NY Yes

Addresses

Primary practice location

6445 218TH St
Oakland Gardens, NY 11364-2237

Mailing address

6445 218TH St
Oakland Gardens, NY 11364-2237
Phone (718) 423-8395

Other providers in Oakland Gardens, NY

All providers in Oakland Gardens, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.