Basic Information
Provider Information
NPI: 1063748168
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HADDEN
FirstName: LAUREN
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: AU.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1668 JADES WAY RD
Address2:  
City: THOMASVILLE
State: NC
PostalCode: 273609234
CountryCode: US
TelephoneNumber: 7049963887
FaxNumber: 3368821234
Practice Location
Address1: 801 N LINDSAY ST
Address2:  
City: HIGH POINT
State: NC
PostalCode: 272623942
CountryCode: US
TelephoneNumber: 3368832815
FaxNumber: 3368821234
Other Information
ProviderEnumerationDate: 10/23/2009
LastUpdateDate: 07/14/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231HA2400X  Y Speech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
231H00000X  N Speech, Language and Hearing Service ProvidersAudiologist 
231HA2500X  N Speech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier

No ID Information.


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