Provider Demographics
NPI:1881095230
Name:ZIOLKOWSKI, LORI ANN (MS, AUD)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:ZIOLKOWSKI
Suffix:
Gender:F
Credentials:MS, AUD
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:159 SAINT CLAIR LN
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-7900
Mailing Address - Country:US
Mailing Address - Phone:304-575-3274
Mailing Address - Fax:
Practice Address - Street 1:159 SAINT CLAIR LN
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-7900
Practice Address - Country:US
Practice Address - Phone:304-575-3274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA-0175231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist