Basic Information
Provider Information
NPI: 1093231136
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEKAS
FirstName: LAUREN
MiddleName: PROULX
NamePrefix: MISS
NameSuffix:  
Credential: MS SLP-CCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24600 SILVER CLOUD CT STE 104
Address2:  
City: MONTEREY
State: CA
PostalCode: 939406555
CountryCode: US
TelephoneNumber: 8316457900
FaxNumber: 8009486061
Practice Location
Address1: 24600 SILVER CLOUD CT STE 104
Address2:  
City: MONTEREY
State: CA
PostalCode: 939406555
CountryCode: US
TelephoneNumber: 8316457900
FaxNumber: 8009486061
Other Information
ProviderEnumerationDate: 08/21/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X29157CAY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 
235Z00000X12551NCN Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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