Lauren Elizabeth Brock, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Anna, TX

NPI 1871246728 · NPPES record last updated Feb 1, 2022

Key facts

NPI
1871246728
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
14256065 (TX)
Practice address
3325 Pate Way
Anna, TX 75409-8459
Phone
(972) 838-2602
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
14256065TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pate Rehabilitation Endeavors, LLC Past
since Feb 6, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14256065 TX Yes

Addresses

Primary practice location

3325 Pate Way
Anna, TX 75409-8459

Mailing address

3325 Pate Way
Anna, TX 75409-8459
Phone (972) 838-2602

Other providers in Anna, TX

All providers in Anna, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.