Provider Demographics
NPI:1023433141
Name:PRICE, LORI ANNE (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANNE
Last Name:PRICE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MISS
Other - First Name:LORI
Other - Middle Name:ANNE
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:12 LUMMI KEY
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006
Mailing Address - Country:US
Mailing Address - Phone:425-427-1075
Mailing Address - Fax:425-657-0691
Practice Address - Street 1:12 LUMMI KEY
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006
Practice Address - Country:US
Practice Address - Phone:425-643-2919
Practice Address - Fax:425-657-0691
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60398691235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist