Provider Demographics
NPI:1245899947
Name:HORST, DANA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:HORST
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 1:444 NEW HOLLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2102
Mailing Address - Country:US
Mailing Address - Phone:570-294-8945
Mailing Address - Fax:
Practice Address - Street 1:31 S SCHROEDER ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223-2559
Practice Address - Country:US
Practice Address - Phone:410-396-1621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-07
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08884235Z00000X
PASL016420235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist