Provider Demographics
NPI:1922867175
Name:PERSON, LORIN DELANEY (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORIN
Middle Name:DELANEY
Last Name:PERSON
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:LORIN
Other - Middle Name:DELANEY
Other - Last Name:BURGESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:PO BOX 124
Mailing Address - Street 2:
Mailing Address - City:GALLMAN
Mailing Address - State:MS
Mailing Address - Zip Code:39077-0124
Mailing Address - Country:US
Mailing Address - Phone:866-808-4133
Mailing Address - Fax:866-849-2728
Practice Address - Street 1:2101 RAHLING ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223
Practice Address - Country:US
Practice Address - Phone:866-808-4133
Practice Address - Fax:866-849-2728
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR202599235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist