Basic Information
Provider Information
NPI: 1245976547
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GOLDSCHMIDT
FirstName: LAUREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1200 CORPORATE DR STE 400
Address2:  
City: HOOVER
State: AL
PostalCode: 352425424
CountryCode: US
TelephoneNumber: 4232387568
FaxNumber:  
Practice Location
Address1: 1203B MEMORIAL BLVD
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371292420
CountryCode: US
TelephoneNumber: 6158954491
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/10/2022
LastUpdateDate: 05/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X7540TNY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


Home