Doctor Name: | MRS. LORI ALLISON MATTA |
NPI Number: | 1811221286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SL008983 |
Business Practice Address: | 3135 Wilmington Rd Suite 2 New Castle, PA - 161051179 |
Business Phone Number: | 7245980000 |
Business Fax Number: | 7245988000 |
Mailing Address: | 9264 Sharrott Rd, #103 POLAND |
State: | OH |
Postal Code: | 445144501 |
Phone Number: | 6102482886 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2009 |
NPI Last Update Date: | 10/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |