Provider Demographics
NPI:1508515883
Name:POPE, LORI (MACCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:POPE
Suffix:
Gender:F
Credentials:MACCC-SLP
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:BELDEN
Other - Last Name:POPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:1017 N DEMAREE ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-4117
Mailing Address - Country:US
Mailing Address - Phone:559-741-9687
Mailing Address - Fax:559-741-9694
Practice Address - Street 1:1017 N DEMAREE ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-4117
Practice Address - Country:US
Practice Address - Phone:559-741-9687
Practice Address - Fax:559-741-9694
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5882235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist