Provider Demographics
NPI:1851491674
Name:HOREWITCH, LAURIE LENTZ (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:LENTZ
Last Name:HOREWITCH
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 1:4158 W CORONA DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-7222
Mailing Address - Country:US
Mailing Address - Phone:480-221-8123
Mailing Address - Fax:
Practice Address - Street 1:358 N 5TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-1508
Practice Address - Country:US
Practice Address - Phone:602-452-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1310235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZSLP1310OtherAZ DEPART OF HEALTH SERVI