Provider Demographics
NPI:1457446866
Name:BRIGGS, LORI ANN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:BRIGGS
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 1:110 4TH ST W STE 3
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4825
Mailing Address - Country:US
Mailing Address - Phone:406-885-2285
Mailing Address - Fax:
Practice Address - Street 1:110 4TH ST W STE 3
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4825
Practice Address - Country:US
Practice Address - Phone:406-885-2285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1028235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist