Provider Demographics
NPI:1356929582
Name:SORIANO, ELIZABETH MEIER (MA, CCC- SLP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MEIER
Last Name:SORIANO
Suffix:
Gender:F
Credentials:MA, CCC- SLP
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:127 COLE DR
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-3669
Mailing Address - Country:US
Mailing Address - Phone:608-561-7869
Mailing Address - Fax:
Practice Address - Street 1:127 COLE DR
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-3669
Practice Address - Country:US
Practice Address - Phone:608-561-7869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4397235Z00000X
VT144.0134125235Z00000X
NC10562235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT144.0134125OtherVERMONT STATE LICENSE
PA1883OtherPROFESSIONAL CERTIFICATE SCHOOLS COMMONWEALTH PA
NC10562OtherSLP STATE LICENSE
KS4397OtherKSSPEECH LANGUAGE PATHOLOGIST LICENSE