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NPI Code Detail

MEDICARE: LORIE MALONE CCC-CLP

MEDICARE: LORIE MALONE CCC-CLP
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
1235Z00000XSpeech-Language Pathologist
2235Z00000XSpeech-Language Pathologist100682TX

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 : 1366681322
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORIE MALONE CCC-CLP
Provider Business Mailing Address
First Line : PO BOX 28
Second Line :
City : BELTON
State : TX
Zip : 76513-0028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7349 HONEYSUCKLE STE 100
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5888
Country : US
Telephone Number : 254-770-2425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2009
Last Update Date : 09/20/2018

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Directions to “ LORIE MALONE CCC-CLP” Practice Location

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