Lorelei Benham, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP009088 Issued in GA

Practice address

4151 Gunnin Rd
Peachtree Corners, GA 30092-1951

Phone

(678) 687-0119

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1801514948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 GUNNIN RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300921951",
            "telephone_number": "678-687-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 GUNNIN RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300921951",
            "telephone_number": "678-687-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENHAM",
        "first_name": "LORELEI",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "SLP009088",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14086292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Barbee
• Quinton Barnes, NP-C
• Amy Barrett, MA, LPC, NCC
• Clinton David Baugham, DMD
• Sheena Dawn Beasley, FNP
• Calandra J Bennett
• Tracy Evans Benson, PT, DPT
• Berenice Betancourt
• Michele Denise Bethune, LCSW
• Blazerworks, LLC

• Speech-Language Pathologist in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.