Provider Demographics
NPI:1912205543
Name:BOOK, LORRAINE ADAIR (PHD)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:ADAIR
Last Name:BOOK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 LEON ST
Mailing Address - Street 2:505L BEHRAKIS HEALTH SCIENCES CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5009
Mailing Address - Country:US
Mailing Address - Phone:617-373-7577
Mailing Address - Fax:617-373-8756
Practice Address - Street 1:30 LEON ST
Practice Address - Street 2:505L BEHRAKIS HEALTH SCIENCES CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5009
Practice Address - Country:US
Practice Address - Phone:617-373-7577
Practice Address - Fax:617-373-8756
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3918235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist