Individual
LORI KAYE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
16225 FOX CROSS DR, GRANGER, IN 46530-6615
(574) 271-0258
(775) 205-7927
Mailing address
16225 FOX CROSS DR, GRANGER, IN 46530-6615
(574) 271-0258
(775) 205-7927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002213A
IN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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