Lori Davis, MS,CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL002218L Issued in PA

Practice address

100 Norman Dr
Cranberry TWP, PA 16066-4239

Phone

(724) 776-8100

NPI assigned

Mar 18, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lori Muckle-Davis Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: upmcsherwoodoaks@upmcdirect.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1073974093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORMAN DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORMAN DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664239",
            "telephone_number": "724-776-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LORI",
        "credential": "MS,CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL002218L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCSherwoodOaks@upmcdirect.com",
            "affiliation": "N",
            "address_1": "100 Norman Dr",
            "city": "Cranberry Twp",
            "state": "PA",
            "country_code": "US",
            "postal_code": "160664239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "MUCKLE-DAVIS",
            "credential": "MS,CCC-SLP/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Paul Dang, MSED, LPC
• Dee Ann Demby, LPN
• Edward John Dengel, D.M.D.
• Chelsea Rae Deremer
• Mallory Destefano
• Lyubov Desyatnik, HEARING AID FITTER

• Speech-Language Pathologist in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.