Provider Demographics
NPI:1184992927
Name:ALTER, LAUREN B (MS, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:B
Last Name:ALTER
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:B
Other - Last Name:BRASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP, TSSLD
Mailing Address - Street 1:22 SAW MILL RIVER RD 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1533
Mailing Address - Country:US
Mailing Address - Phone:914-593-1659
Mailing Address - Fax:914-593-1790
Practice Address - Street 1:30 PLAZA W
Practice Address - Street 2:VOSBURGH PAVILION
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1572
Practice Address - Country:US
Practice Address - Phone:914-594-4914
Practice Address - Fax:914-594-4853
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018307-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist