Provider Demographics
NPI:1255622395
Name:PITCHFORD, LACHONE (MA/CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LACHONE
Middle Name:
Last Name:PITCHFORD
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 1:2109 E 87TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-3012
Mailing Address - Country:US
Mailing Address - Phone:773-517-7669
Mailing Address - Fax:773-375-5075
Practice Address - Street 1:2109 E 87TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-3012
Practice Address - Country:US
Practice Address - Phone:773-517-7669
Practice Address - Fax:773-375-6566
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146005913235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist