Provider Demographics
NPI:1982992970
Name:SEDUNOV, ELIZABETH MICHELE MORGAN (AUD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MICHELE MORGAN
Last Name:SEDUNOV
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 FRIENDSHIP DR
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1207
Mailing Address - Country:US
Mailing Address - Phone:614-270-3130
Mailing Address - Fax:
Practice Address - Street 1:8380 OLD YORK RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1539
Practice Address - Country:US
Practice Address - Phone:215-780-3180
Practice Address - Fax:215-780-3182
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAO1775231H00000X
PAAT006269231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist