Provider Demographics
NPI:1285038406
Name:CHRANE, LORY (MA,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LORY
Middle Name:
Last Name:CHRANE
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 1:386 LEWISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22611-2806
Mailing Address - Country:US
Mailing Address - Phone:540-539-3939
Mailing Address - Fax:
Practice Address - Street 1:386 LEWISVILLE RD
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611-2806
Practice Address - Country:US
Practice Address - Phone:540-539-3939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004759235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist