Porter, Elizabeth Amy

Porter, Elizabeth Amy is an individual health care provider with primary practice located at 3054 Enterprise Dr , State College PA 16801-2755. 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. Porter, Elizabeth Amy can be contacted via phone (814) 234-6023.

Contact Information

Primary practice address
3054 Enterprise Dr State College PA 16801-2755
Phone: (814) 234-6023
Fax: (814) 234-1439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL009073 Pennsylvania

Profile Details

NPI number 1861560989
LBN Legal business name Porter, Elizabeth Amy
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Oct 9th, 2009 - about 17 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 1861560989 NPPES
Pennsylvania MEDICAID 1023721420001

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