Individual
LORAINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
103 FREHOLD CT, CARY, NC 27519-7372
(919) 465-4424
(919) 465-4427
Mailing address
103 FREHOLD CT, CARY, NC 27519-7372
(919) 465-4424
(919) 465-4427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11425
BLUE CROSS BLUE SHIELD NC
NC
01
—
188257
MEDCOST PROVIDER ID
NC
05
—
7411487
—
NC
Enumeration date
02/06/2007
Last updated
10/09/2007
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