Individual
LORI MAENPAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2455 CLINTWOOD DR SW, MARIETTA, GA 30064-4255
(678) 315-3614
Mailing address
2455 CLINTWOOD DR SW, MARIETTA, GA 30064-4255
(678) 315-3614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006423
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374454870A
—
GA
Enumeration date
12/28/2006
Last updated
12/03/2015
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