Provider Demographics
NPI:1912722885
Name:ENDERS, LAUREN SCHWARTZ (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:SCHWARTZ
Last Name:ENDERS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ENDERS
Other - Last Name:GONZALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:96 STARDUST DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966
Mailing Address - Country:US
Mailing Address - Phone:215-262-8280
Mailing Address - Fax:
Practice Address - Street 1:96 STARDUST DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2746
Practice Address - Country:US
Practice Address - Phone:215-262-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004954L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist