Provider Demographics
NPI:1730246190
Name:MEFFEN, LAUREN H (CCC/SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:H
Last Name:MEFFEN
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:H
Other - Last Name:MEFFEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC/SLP
Mailing Address - Street 1:4001 NEWBERRY RD STE B1
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2300
Mailing Address - Country:US
Mailing Address - Phone:352-283-0595
Mailing Address - Fax:352-600-3385
Practice Address - Street 1:4001 NEWBERRY RD STE B1
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2300
Practice Address - Country:US
Practice Address - Phone:352-283-0595
Practice Address - Fax:352-600-3385
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2355S0801X
FLSA9770235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLUTW0COtherBCBS