Provider Demographics
NPI:1487932539
Name:HORVATH, PATRICIA E (CCC SPL)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:E
Last Name:HORVATH
Suffix:
Gender:F
Credentials:CCC SPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59960 RED FOX CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46614-4033
Mailing Address - Country:US
Mailing Address - Phone:574-299-8481
Mailing Address - Fax:
Practice Address - Street 1:59960 RED FOX CT
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46614-4033
Practice Address - Country:US
Practice Address - Phone:574-299-8481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22005331A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist