Healthcare Provider Details

I. General information

NPI: 1447466040
Provider Name (Legal Business Name): LORA NALBERCZINSKI CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 02/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1591 PORT REPUBLIC RD
HARRISONBURG VA
22801-3517
US

IV. Provider business mailing address

147 HARTMAN CT
MCGAHEYSVILLE VA
22840-2012
US

V. Phone/Fax

Practice location:
  • Phone: 540-437-4226
  • Fax:
Mailing address:
  • Phone: 540-578-0638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202004333
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: