Individual
LORI ELIZABETH MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 788-8136
(814) 788-8091
Mailing address
106 CHICKEN HILL RD, KERSEY, PA 15846-9103
(814) 885-6393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL0057154
PA
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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