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NPI Code Detail

MEDICARE: MRS. LORI A GORMAN S.L.P.

MEDICARE: MRS. LORI A GORMAN S.L.P.
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 Pathologist18251TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28T1030OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1386707628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI A GORMAN S.L.P.
Provider Business Mailing Address
First Line : 3840 HULEN ST
Second Line : HTN, CLIENT ACCOUNTING
City : FORT WORTH
State : TX
Zip : 76107-7277
Country : US
Telephone Number : 817-569-4395
Fax Number : 817-569-4517
Provider Business Practice Location Address
First Line : 3840 HULEN ST STE 100
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7269
Country : US
Telephone Number : 817-569-4395
Fax Number : 817-569-4517
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 01/30/2026

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Directions to “ MRS. LORI A GORMAN S.L.P.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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