Provider Demographics
NPI:1700279726
Name:ABERLI, LORETTA A (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LORETTA
Middle Name:A
Last Name:ABERLI
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 1:507 KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4711
Mailing Address - Country:US
Mailing Address - Phone:502-939-6891
Mailing Address - Fax:502-426-9447
Practice Address - Street 1:415 BENJAMIN LN
Practice Address - Street 2:SUITE 102
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4845
Practice Address - Country:US
Practice Address - Phone:502-939-6891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1127235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist