Provider Demographics
NPI:1194390559
Name:KRAUTER, LORI (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:KRAUTER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1328 LOMA VERDE DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-0831
Mailing Address - Country:US
Mailing Address - Phone:559-303-2016
Mailing Address - Fax:
Practice Address - Street 1:1328 LOMA VERDE DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-0831
Practice Address - Country:US
Practice Address - Phone:559-303-2016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NVSP-4014235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist