Provider Demographics
NPI:1639367089
Name:HORVATH, CHARMAINE ANN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHARMAINE
Middle Name:ANN
Last Name:HORVATH
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 BRANDYWINE DR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-7972
Mailing Address - Country:US
Mailing Address - Phone:814-237-2049
Mailing Address - Fax:
Practice Address - Street 1:138 BRANDYWINE DR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7972
Practice Address - Country:US
Practice Address - Phone:814-237-2049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008807235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist