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NPI Code Detail

MEDICARE: CARRIE DENISE LOUGHRAN

MEDICARE: CARRIE DENISE LOUGHRAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language AssistantSI 955FL
2235Z00000XSpeech-Language PathologistSA10514FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144349242
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE DENISE LOUGHRAN
Provider Business Mailing Address
First Line : 265 LIVERPOOL CV
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-5638
Country : US
Telephone Number : 407-415-4026
Fax Number :
Provider Business Practice Location Address
First Line : 4680 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-1182
Country : US
Telephone Number : 407-852-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/21/2022

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Directions to “ CARRIE DENISE LOUGHRAN ” Practice Location

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