Individual
CARRIE DENISE LOUGHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4680 LAKE UNDERHILL RD, ORLANDO, FL 32807-1182
(407) 852-3300
Mailing address
265 LIVERPOOL CV, LONGWOOD, FL 32779-5638
(407) 415-4026
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI 955
FL
235Z00000X
Speech-Language Pathologist
Primary
SA10514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002987800
—
FL
Enumeration date
03/28/2007
Last updated
07/21/2022
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