Lori Prine, MA-CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP4280 Issued in OH

Practice address

601 S Apple St
Fayetteville, OH 45118-8462

Phone

(513) 875-2083

Fax

(513) 875-4511

NPI assigned

Aug 22, 2014

Last updated

Aug 22, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1245639509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10713 DRAKE RD",
            "city": "HAMERSVILLE",
            "state": "OH",
            "postal_code": "451309617",
            "telephone_number": "513-309-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S APPLE ST",
            "city": "FAYETTEVILLE",
            "state": "OH",
            "postal_code": "451188462",
            "telephone_number": "513-875-2083",
            "fax_number": "513-875-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINE",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "MA-CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP4280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Fayetteville, OH
• Providers in Fayetteville, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.