Individual ProviderLoryssa C HowardSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1274 Congress St, Portland, ME 04102-2111(207) 888-0900(972) 250-1705PECOS EnrollmentBased on the most recent information from CMS, provider Loryssa C Howard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1588962799Provider TypeIndividualFull NameHoward, Loryssa CCredentialM.A., M.S.,CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date3/11/2011Last Updated10/14/2022Contact InformationPractice LocationPractice Address1274 Congress St, Portland, ME 04102-2111Phone(207) 888-0900Fax(207) 253-2410Mailing LocationMailing Address6210 Campbell Rd, Suite 100, Dallas, TX 75248-1379Phone(972) 250-1705Fax(972) 250-1710Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSP3727MaineCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense104107Texas