Provider Demographics
NPI:1487014742
Name:TERPENING, LORETTA (MS/CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORETTA
Middle Name:
Last Name:TERPENING
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4734 SW STATE ROUTE U
Mailing Address - Street 2:
Mailing Address - City:RICH HILL
Mailing Address - State:MO
Mailing Address - Zip Code:64779-7904
Mailing Address - Country:US
Mailing Address - Phone:660-890-5381
Mailing Address - Fax:
Practice Address - Street 1:4734 SW STATE ROUTE U
Practice Address - Street 2:
Practice Address - City:RICH HILL
Practice Address - State:MO
Practice Address - Zip Code:64779-7904
Practice Address - Country:US
Practice Address - Phone:660-890-5381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014036344235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist