Provider Demographics
NPI:1083024384
Name:GREENWOOD, LAUREN ASHLEIGH (AUD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ASHLEIGH
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ASHLEIGH
Other - Last Name:BLEDSOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:209 CAROL AVE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-3505
Mailing Address - Country:US
Mailing Address - Phone:540-718-1597
Mailing Address - Fax:
Practice Address - Street 1:120 N COMMERCE AVE STE 245
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-2672
Practice Address - Country:US
Practice Address - Phone:540-635-0795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006234231H00000X
VA2201001542231H00000X
DE02-0000181231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist