Provider Demographics
NPI:1982322954
Name:LOHRER, LOGAN RAE (CF-SLP)
Entity Type:Individual
Prefix:
First Name:LOGAN
Middle Name:RAE
Last Name:LOHRER
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 WILDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:NORTHVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07647-1214
Mailing Address - Country:US
Mailing Address - Phone:201-214-4657
Mailing Address - Fax:
Practice Address - Street 1:21 W 111TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-4328
Practice Address - Country:US
Practice Address - Phone:212-289-3249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist