Lori Gosney

Individual provider Active NPI Speech-Language Pathologist · Orting, WA

NPI 1902229636 · NPPES record last updated Jan 31, 2014

Key facts

NPI
1902229636
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
LL00001440 (WA)
Practice address
121 Whitesell Ave NE
Orting, WA 98360-8404
Phone
(360) 893-6500
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LL00001440WAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00001440 WA Yes

Addresses

Primary practice location

121 Whitesell Ave NE
Orting, WA 98360-8404

Mailing address

121 Whitesell Ave NE
Orting, WA 98360-8404
Phone (360) 893-6500

Other providers in Orting, WA

All providers in Orting, WA · Speech-Language Pathologist in Washington

Sources for this page

Verify at the official NPI Registry.