Provider Demographics
NPI:1134660830
Name:BINNEY, LORI (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:BINNEY
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 1:2660 COMMON ST
Mailing Address - Street 2:STE. 101
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3584
Mailing Address - Country:US
Mailing Address - Phone:830-214-7640
Mailing Address - Fax:830-626-2782
Practice Address - Street 1:2660 COMMON ST
Practice Address - Street 2:STE. 101
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3584
Practice Address - Country:US
Practice Address - Phone:830-214-7640
Practice Address - Fax:830-626-2782
Is Sole Proprietor?:No
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110042235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist