Provider Demographics
NPI:1417789983
Name:HARDICK, LAUREN OLIVIA (CF-SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:OLIVIA
Last Name:HARDICK
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5524 BEE CAVES RD STE L
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5279
Mailing Address - Country:US
Mailing Address - Phone:512-921-5832
Mailing Address - Fax:
Practice Address - Street 1:5524 BEE CAVES RD STE L
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5279
Practice Address - Country:US
Practice Address - Phone:512-921-5832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122899235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist