Doctor Name: | MRS. LORRIE GAY TINKER |
NPI Number: | 1467677625 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCCSLP |
License Number: | 102810 |
Business Practice Address: | 444 W Harrison Ave Decatur, IL - 62526 |
Business Phone Number: | 2178777333 |
Business Fax Number: | 2178726723 |
Mailing Address: | 1710 Cantrell St., DECATUR |
State: | IL |
Postal Code: | 62521 |
Phone Number: | 2173203613 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2007 |
NPI Last Update Date: | 02/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 102810 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |