LORI BOHUSLAV GREEN

PORTLAND, TX
NPI1235374703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  100895)
Enumeration Date2008-12-11
Last Update Date2008-12-11
Business Address
-- LORI BOHUSLAV GREEN MS CCC/SLP
401 NORTHSHORE BLVD
PORTLAND, TX 78374-3800
Phone number: 361-643-3777
Mailing Address
-- LORI BOHUSLAV GREEN MS CCC/SLP
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 361-643-3777