Provider Demographics
NPI:1932354115
Name:LOEHRKE, PATRICIA LYNN (MS CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:LYNN
Last Name:LOEHRKE
Suffix:
Gender:F
Credentials:MS CCC SLP
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Mailing Address - Street 1:220 CABRINI BLVD
Mailing Address - Street 2:APT. #3C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1106
Mailing Address - Country:US
Mailing Address - Phone:646-418-6001
Mailing Address - Fax:212-568-0798
Practice Address - Street 1:220 CABRINI BLVD
Practice Address - Street 2:APT. #3C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-1106
Practice Address - Country:US
Practice Address - Phone:646-418-6001
Practice Address - Fax:212-568-0798
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY007072235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist