Provider Demographics
NPI:1598465874
Name:HORN, ELIZABETH IRENE (AUD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:IRENE
Last Name:HORN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1556 N WENATCHEE AVE STE D
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-8405
Mailing Address - Country:US
Mailing Address - Phone:509-852-7000
Mailing Address - Fax:509-852-7002
Practice Address - Street 1:1556 N WENATCHEE AVE STE D
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-8405
Practice Address - Country:US
Practice Address - Phone:509-852-7000
Practice Address - Fax:509-852-7002
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61448472231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist