Doctor Name: | MRS. LORI MICHELLE DONOVAN |
NPI Number: | 1215101993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 7339 |
Business Practice Address: | Psc 836 Box 2670 Fpo, AE - 09636 |
Business Phone Number: | 0113909556 |
Business Fax Number: | |
Mailing Address: | Psc 812 Box 3180 Slot 114, FPO |
State: | AE |
Postal Code: | 09627 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/15/2008 |
NPI Last Update Date: | 04/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7339 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |