Provider Demographics
NPI:1932086105
Name:SHIVER, LAUREN IVEY (CF-SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:IVEY
Last Name:SHIVER
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 1:136 E 60TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4114
Mailing Address - Country:US
Mailing Address - Phone:912-438-2817
Mailing Address - Fax:
Practice Address - Street 1:103 E US HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:GA
Practice Address - Zip Code:31302-9226
Practice Address - Country:US
Practice Address - Phone:912-421-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCET004328235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist