Provider Demographics
NPI:1104034313
Name:SEKHON, LORI (MS, CCC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:SEKHON
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7221 BUCKNELL DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-1752
Mailing Address - Country:US
Mailing Address - Phone:214-676-8133
Mailing Address - Fax:214-349-1288
Practice Address - Street 1:7221 BUCKNELL DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-1752
Practice Address - Country:US
Practice Address - Phone:214-676-8133
Practice Address - Fax:214-349-1288
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14205235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist