Provider Demographics
NPI:1912188806
Name:LOHR, PATTI B (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:B
Last Name:LOHR
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 LYNWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-3542
Mailing Address - Country:US
Mailing Address - Phone:843-549-5298
Mailing Address - Fax:
Practice Address - Street 1:510 LYNWOOD RD
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-3542
Practice Address - Country:US
Practice Address - Phone:843-549-5298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2397235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSA0206Medicaid