Lauren Patricia Deruvo, SLP

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

NPI 1972958320 · NPPES record last updated Sep 15, 2020

Key facts

NPI
1972958320
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
026632 (NY)
Practice address
55 Lindner PL
Malverne, NY 11565-1408
Phone
(646) 951-6887
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 026632 NY Yes

Addresses

Primary practice location

55 Lindner PL
Malverne, NY 11565-1408

Mailing address

224 Abbey St
Massapequa Park, NY 11762-3549
Phone (516) 652-1521

Other names

  • Ms. Lauren Patricia Rose Former name

Other providers in Malverne, NY

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

Sources for this page

Verify at the official NPI Registry.