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Individual

LOREN TACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 784-6200
Mailing address
3005 DONNER LAKE CIR, DENTON, TX 76210-2900

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40010
TX
235Z00000X
Speech-Language Pathologist
Primary
1961
HI
235Z00000X
Speech-Language Pathologist
35320
CA

Other

Enumeration date
01/07/2017
Last updated
07/27/2026
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