Doctor Name: | MRS. LORI PRINE |
NPI Number: | 1245639509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA-CCC, SLP |
License Number: | SP4280 |
Business Practice Address: | 601 S Apple St Fayetteville, OH - 451188462 |
Business Phone Number: | 5138752083 |
Business Fax Number: | 5138754511 |
Mailing Address: | 10713 Drake Rd, HAMERSVILLE |
State: | OH |
Postal Code: | 451309617 |
Phone Number: | 5133098859 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2014 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP4280 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |