Provider Demographics
NPI:1184037517
Name:KNARR, LAURA ELISABETH (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ELISABETH
Last Name:KNARR
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 FLAT ROCK RD
Mailing Address - Street 2:UNIT 608
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19127-2027
Mailing Address - Country:US
Mailing Address - Phone:201-259-7254
Mailing Address - Fax:
Practice Address - Street 1:4601 FLAT ROCK RD
Practice Address - Street 2:UNIT 608
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19127-2027
Practice Address - Country:US
Practice Address - Phone:201-259-7254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011850235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist