Provider Demographics
NPI:1861739005
Name:KROPP, LAUREN ROSENTHAL
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ROSENTHAL
Last Name:KROPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 IDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04021-3450
Mailing Address - Country:US
Mailing Address - Phone:207-829-9162
Mailing Address - Fax:
Practice Address - Street 1:42 IDLEWOOD DR
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:ME
Practice Address - Zip Code:04021-3450
Practice Address - Country:US
Practice Address - Phone:207-829-9162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP2228235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist