Provider Demographics
NPI:1043936495
Name:JAMICK, LAUREN (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:JAMICK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:O'TOOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1085 S LINDEN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3416
Mailing Address - Country:US
Mailing Address - Phone:810-262-2000
Mailing Address - Fax:
Practice Address - Street 1:1085 S LINDEN RD STE 100
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3416
Practice Address - Country:US
Practice Address - Phone:810-262-2000
Practice Address - Fax:810-230-3366
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101007725235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist