Provider Demographics
NPI:1053462812
Name:NEUHOFF, LOREN (MED CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LOREN
Middle Name:
Last Name:NEUHOFF
Suffix:
Gender:F
Credentials:MED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 EVERETT AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-7139
Mailing Address - Country:US
Mailing Address - Phone:919-600-8917
Mailing Address - Fax:
Practice Address - Street 1:2802 EVERETT AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7139
Practice Address - Country:US
Practice Address - Phone:919-600-8917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist