Provider Demographics
NPI:1730637539
Name:LOFTUS, ELIZABETH ANN (MS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:LOFTUS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5928 W PARKER RD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6433
Mailing Address - Country:US
Mailing Address - Phone:972-608-0416
Mailing Address - Fax:972-608-0430
Practice Address - Street 1:5928 W PARKER RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6433
Practice Address - Country:US
Practice Address - Phone:972-608-0416
Practice Address - Fax:972-608-0430
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113071235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist