Individual
AUTUMN SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
100 BARBER PLACE, #29, ERIE, PA 16507
(814) 453-7611
Mailing address
100 BARBER PLACE, #29, ERIE, PA 16507
(814) 453-7611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012483
PA
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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