Provider Demographics
NPI:1013142058
Name:FERRARO, LORI-ANN (PHD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LORI-ANN
Middle Name:
Last Name:FERRARO
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:MRS
Other - First Name:LORI-ANN
Other - Middle Name:
Other - Last Name:LAMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:35 FOLLY ROAD BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7586
Mailing Address - Country:US
Mailing Address - Phone:843-580-8107
Mailing Address - Fax:
Practice Address - Street 1:35 FOLLY ROAD BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7586
Practice Address - Country:US
Practice Address - Phone:352-213-3056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 9506235Z00000X
SC7711235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSA 9506OtherLICENSE
SC7211OtherLICENSE
12130546OtherASHA