Individual
LAURA ELISABETH HORNUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1440 DICKINSON ST, PHILADELPHIA, PA 19146-4842
(610) 883-7877
Mailing address
1440 DICKINSON ST, PHILADELPHIA, PA 19146-4842
(610) 883-7877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013466
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10181991
BIRTHDAY
PA
Enumeration date
12/20/2019
Last updated
12/20/2019
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