| Lauren Boulet, SLP | |
| 110 W 6th St, Oswego, NY 13126-2507 | |
| (315) 349-5558 | |
| (315) 349-5652 | 
| Full Name | Lauren Boulet | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 110 W 6th St, Oswego, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871993188 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 024111 (New York) | Primary | 
| Provider Name | State Of New York Comptrollers Office | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lauren Boulet, SLP 110 W 6th St, Oswego, NY 13126-2507 Ph: (315) 349-5558 | Lauren Boulet, SLP 110 W 6th St, Oswego, NY 13126-2507 Ph: (315) 349-5558 | 
| Mrs. Melissa Ann Phillips, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
| Meredith Austin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 Fax: 315-342-7664 | |
| Melissa Virginia Dauccio,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
| Emily Poulton, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Buccaneer Blvd, Oswego, NY 13126 Phone: 315-341-2600 | |
| Sarah Grace Harper,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 299 E River Rd, Oswego, NY 13126 Phone: 315-342-3166 | |
| Juliet C Abendroth, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-4600 | |
| Mrs. Dana Donovan, MS. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Suite 140, Oswego, NY 13126 Phone: 315-349-5558 Fax: 315-349-5652 |