Lauren E Wakefield
Speech-Language Pathologist, in Fort Worth, TX. Individual provider (NPI-1).
NPI number1982184073
StatusActive
Last updated in NPPESAug 17, 2018
Details
- NPI
- 1982184073
- Entity type
- Individual (NPI-1)
- Name
- Lauren E Wakefield
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2018
- Last updated
- Aug 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 107678 | TX | Yes |
Practice location
4600 Heritage Trace PkwyFort Worth, TX 76244-8900
Phone 817-741-9360
Mailing address
4600 Heritage Trace PkwyFort Worth, TX 76244-8900
Phone 817-741-9360
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