Provider Demographics
NPI:1720813207
Name:YOST, LAUREN SHAY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:SHAY
Last Name:YOST
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 1:620 E 25TH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-5529
Mailing Address - Country:US
Mailing Address - Phone:308-455-1781
Mailing Address - Fax:308-455-1782
Practice Address - Street 1:620 E 25TH ST STE 7
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-5529
Practice Address - Country:US
Practice Address - Phone:308-455-1781
Practice Address - Fax:308-455-1782
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2371235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist