Horberg, Meckenzie

Horberg, Meckenzie is an individual health care provider with primary practice located at 503 S 18Th St , Laramie WY 82070-4303. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Horberg, Meckenzie can be contacted via phone (307) 742-3728.

Contact Information

Primary practice address
503 S 18Th St Laramie WY 82070-4303
Phone: (307) 742-3728
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP.10780 Ohio
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.011323 Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP-1273 Wyoming

Profile Details

NPI number 1811336233
LBN Legal business name Horberg, Meckenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2013
Last updated Jul 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811336233 NPPES
Wyoming Other SP-1273 WYOMING LICENSE
Wyoming Other 1460011232 WYOMING LICENSE
Wyoming Other 1215875 WYOMING LICENSE

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