Provider Demographics
NPI:1588728109
Name:WEINMAN, LAUREN TERESE (MS SLP CCC/L)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:TERESE
Last Name:WEINMAN
Suffix:
Gender:F
Credentials:MS SLP CCC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 E LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5934
Mailing Address - Country:US
Mailing Address - Phone:630-240-3154
Mailing Address - Fax:630-517-8139
Practice Address - Street 1:1203 E LIBERTY DR
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-5934
Practice Address - Country:US
Practice Address - Phone:630-240-3154
Practice Address - Fax:630-517-8139
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146008396235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist