Lauren Lee Bochart

Individual provider Active NPI Speech-Language Pathologist · Tappan, NY

NPI 1831522937 · NPPES record last updated Aug 13, 2013

Key facts

NPI
1831522937
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
023025-1 (NY)
Practice address
3 Van Wardt PL
Tappan, NY 10983-2421
Phone
(845) 406-2037
NPI assigned
Aug 13, 2013
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

State licenses

LicenseStateTypeSpecialty
023025-1NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 023025-1 NY Yes

Addresses

Primary practice location

3 Van Wardt PL
Tappan, NY 10983-2421

Mailing address

3 Van Wardt PL
Tappan, NY 10983-2421
Phone (845) 406-2037

Other providers in Tappan, NY

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

Sources for this page

Verify at the official NPI Registry.