Loralie C Bushnell, CCC-SLP
Speech-Language Pathologist, in Pearland, TX. Individual provider (NPI-1).
NPI number1902467467
StatusActive
Last updated in NPPESJun 25, 2019
Details
- NPI
- 1902467467
- Entity type
- Individual (NPI-1)
- Name
- Loralie C Bushnell
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2019
- Last updated
- Jun 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
2011 Broadway St Ste 130Pearland, TX 77581-5945
Phone 281-997-8509
Mailing address
809 Wooded Creek AveWylie, TX 75098-8700
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