Individual
LORI BENNETT POORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASHA CCC-SLP
Contact information
Practice address
751 HERMITAGE TRAIL DR, COLLIERVILLE, TN 38017-1550
(706) 936-1561
Mailing address
751 HERMITAGE TRAIL DR, COLLIERVILLE, TN 38017-1550
(706) 936-1561
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP28119
CA
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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