Lori Bohuslav Green, MS CCC/SLP

NPI #1235374703 in Portland, Texas

Provider Information

NPI Number
1235374703
Entity Type
Individual
Name
Lori Bohuslav Green, MS CCC/SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MS CCC/SLP
Enumeration Date
Dec 11, 2008
Last Updated
Dec 11, 2008

Practice Location

Address
401 NORTHSHORE BLVD
State
Texas
ZIP Code
78374-3800
Phone
(361) 643-3777

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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