Provider Demographics
NPI:1467778142
Name:SAUNDERS-RODGERS, LORI MICHELLE (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:MICHELLE
Last Name:SAUNDERS-RODGERS
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 1:3728 S HWY 287
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75109-8960
Mailing Address - Country:US
Mailing Address - Phone:903-874-6315
Mailing Address - Fax:903-874-6387
Practice Address - Street 1:3728 S HWY 287
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75109-8960
Practice Address - Country:US
Practice Address - Phone:903-874-6315
Practice Address - Fax:903-874-6387
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105220235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist