Provider Demographics
NPI:1528423621
Name:HORSTMAN, NATALIE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:HORSTMAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 HIMROD ST
Mailing Address - Street 2:APT 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-3402
Mailing Address - Country:US
Mailing Address - Phone:214-707-5104
Mailing Address - Fax:
Practice Address - Street 1:112 HIMROD ST
Practice Address - Street 2:APT 1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-3402
Practice Address - Country:US
Practice Address - Phone:214-707-5104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024411-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist