Provider Demographics
NPI:1154151256
Name:WENSEL ROSSI, LAUREN VICTORIA (SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:VICTORIA
Last Name:WENSEL ROSSI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:WENSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 BLACKSMITH RD STE 116
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-2065
Mailing Address - Country:US
Mailing Address - Phone:215-383-3133
Mailing Address - Fax:
Practice Address - Street 1:32 BLACKSMITH RD STE 101
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1847
Practice Address - Country:US
Practice Address - Phone:215-383-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL018655235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist