Provider Demographics
NPI:1053205120
Name:EDWARDS, LAUREN SKJOTT (MS, SLP-CCC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:SKJOTT
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:GENNA
Other - Last Name:SKJOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, SLP-CCC
Mailing Address - Street 1:9640 SHOREVIEW RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-4237
Mailing Address - Country:US
Mailing Address - Phone:713-444-2500
Mailing Address - Fax:
Practice Address - Street 1:9640 SHOREVIEW RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-4237
Practice Address - Country:US
Practice Address - Phone:713-444-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108965235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX39-2167198OtherSPEECH LANGUAGE PATHOLOGY