Provider Demographics
NPI:1285915124
Name:LOFTIN, KIE'RRA T (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KIE'RRA
Middle Name:T
Last Name:LOFTIN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5705 LYNNHAVEN PKWY STE 104 PMB 1227
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-8533
Mailing Address - Country:US
Mailing Address - Phone:757-632-2456
Mailing Address - Fax:
Practice Address - Street 1:10 MAST CT
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-5384
Practice Address - Country:US
Practice Address - Phone:757-632-2456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist