Provider Demographics
NPI:1306127089
Name:CUMMANE, LAUREN MARY (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:MARY
Last Name:CUMMANE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7711 W 91ST ST
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-2003
Mailing Address - Country:US
Mailing Address - Phone:708-430-1154
Mailing Address - Fax:
Practice Address - Street 1:7711 W 91ST ST
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-2003
Practice Address - Country:US
Practice Address - Phone:708-430-1154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010813235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist