Provider Demographics
NPI:1124210638
Name:FINNEGAN, LORI M (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:M
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7767 E LONG PL
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2661
Mailing Address - Country:US
Mailing Address - Phone:617-448-2102
Mailing Address - Fax:
Practice Address - Street 1:7767 E LONG PL
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2661
Practice Address - Country:US
Practice Address - Phone:617-448-2102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6186235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist