Provider Demographics
NPI:1861034308
Name:LORIANI SPEECH THERAPY
Entity Type:Organization
Organization Name:LORIANI SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TATEVIK
Authorized Official - Middle Name:TIFFANY
Authorized Official - Last Name:DARBINISN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SLP-CCC
Authorized Official - Phone:818-572-7597
Mailing Address - Street 1:618 E MAGNOLIA BLVD # E5
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2658
Mailing Address - Country:US
Mailing Address - Phone:818-572-7597
Mailing Address - Fax:
Practice Address - Street 1:210 N CENTRAL AVE STE 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2536
Practice Address - Country:US
Practice Address - Phone:818-572-7597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty