Lorri Ann Allen, MS-CCC/SLP/L

Individual provider Active NPI Speech-Language Pathologist · Sandwich, IL

NPI 1386723799 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1386723799
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
209 E Knights Rd
Sandwich, IL 60548-1289
Phone
(815) 786-1919
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146.005718ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X IL Yes

Addresses

Primary practice location

209 E Knights Rd
Sandwich, IL 60548-1289

Mailing address

209 E Knights Rd
Sandwich, IL 60548-1289
Phone (815) 786-1919

Other providers in Sandwich, IL

All providers in Sandwich, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.