1184992927 NPI number — MRS. LAUREN B ALTER M.S., CCC-SLP, TSSLD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184992927 NPI number — MRS. LAUREN B ALTER M.S., CCC-SLP, TSSLD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALTER
Provider First Name:
LAUREN
Provider Middle Name:
B
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S., CCC-SLP, TSSLD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRASH
Provider Other First Name:
LAUREN
Provider Other Middle Name:
B
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S., CCC-SLP, TSSLD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1184992927
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/02/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 SAW MILL RIVER RD 2ND FLOOR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAWTHORNE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10532-1533
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-593-1659
Provider Business Mailing Address Fax Number:
914-593-1790

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 PLAZA W
Provider Second Line Business Practice Location Address:
VOSBURGH PAVILION
Provider Business Practice Location Address City Name:
VALHALLA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10595-1572
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-594-4914
Provider Business Practice Location Address Fax Number:
914-594-4853
Provider Enumeration Date:
12/08/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  018307-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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