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 11 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