Provider Demographics
NPI:1518101047
Name:FORAN, LORI GOODNATURE (PHD, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:GOODNATURE
Last Name:FORAN
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:SMITH
Other - Last Name:GOODNATURE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M ED, CCC-SLP
Mailing Address - Street 1:1750 MARTIN LUTHER KING JR. BLVD., #292
Mailing Address - Street 2:STE. 109
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360
Mailing Address - Country:US
Mailing Address - Phone:251-367-4689
Mailing Address - Fax:
Practice Address - Street 1:9086 MERRITT LN STE D
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-5610
Practice Address - Country:US
Practice Address - Phone:251-340-2166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8499235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist