Provider Demographics
NPI:1093231136
Name:PROULX, LAUREN ELIZABETH (MS SLP-CCC)
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:PROULX
Suffix:
Gender:
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:PROULX
Other - Last Name:SEKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SLP-CCC
Mailing Address - Street 1:24600 SILVER CLOUD CT STE 104
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6555
Mailing Address - Country:US
Mailing Address - Phone:831-645-7900
Mailing Address - Fax:800-948-6061
Practice Address - Street 1:24600 SILVER CLOUD CT STE 104
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6555
Practice Address - Country:US
Practice Address - Phone:831-645-7900
Practice Address - Fax:800-948-6061
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12551235Z00000X
CA29157235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist