Provider Demographics
NPI:1679610547
Name:LORIGAN, AMY (MA, CCC SLP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:LORIGAN
Suffix:
Gender:F
Credentials:MA, CCC SLP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:289 DANIEL STREET
Mailing Address - Street 2:DANIEL STREET ELEMENTARY SCHOOL
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3502
Mailing Address - Country:US
Mailing Address - Phone:631-867-3300
Mailing Address - Fax:
Practice Address - Street 1:289 DANIEL STREET
Practice Address - Street 2:DANIEL STREET ELEMENTARY SCHOOL
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-3502
Practice Address - Country:US
Practice Address - Phone:631-867-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015016-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist