Peterson, Lori Ann
Peterson, Lori Ann is an individual health care provider with primary practice located at 110 Campus Drive , Bradford PA 16701. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Peterson, Lori Ann can be contacted via phone (814) 887-5591.Contact Information
Primary practice address
110 Campus Drive
Bradford PA 16701
Phone: (814) 887-5591
Fax: (814) 887-5666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL006305L | Pennsylvania |
Profile Details
| NPI number | 1366564098 |
|---|---|
| LBN Legal business name | Peterson, Lori Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366564098 | NPPES |
| Pennsylvania | MEDICAID | 1011532860001 |
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