Allen, Lori Mccullough

Allen, Lori Mccullough is an sole proprietor health care provider with primary practice located at 9881 Invention Ln , Jacksonville FL 32256-8191. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Allen, Lori Mccullough can be contacted via phone (904) 465-0178.

Contact Information

Primary practice address
9881 Invention Ln Jacksonville FL 32256-8191
Phone: (904) 465-0178
Fax: (904) 770-5596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5457 Florida

Profile Details

NPI number 1851582167
LBN Legal business name Allen, Lori Mccullough
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2007
Last updated Jun 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851582167 NPPES
Florida MEDICAID 811205300

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