Provider Demographics
NPI:1144570961
Name:DORMINEY, LORI DAY (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:DAY
Last Name:DORMINEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 KINGSWAY CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-2808
Mailing Address - Country:US
Mailing Address - Phone:251-459-0720
Mailing Address - Fax:
Practice Address - Street 1:3508 DUAPHIN SQUARE CONNECTOR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-2500
Practice Address - Country:US
Practice Address - Phone:251-479-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2274235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist