MEDICARE: LAURA ARMBRUST SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	41YS00658600	NJ

General Provider Information

NPI Number	:	1265712608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA ARMBRUST SLP

Provider Business Mailing Address
First Line	:	2250 HICKORY RD
Second Line	:
City	:	PLYMOUTH MEETING
State	:	PA
Zip	:	19462-1047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 N GALLOWAY ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-1504
Country	:	US
Telephone Number	:	856-375-2914
Fax Number	:	856-433-8057

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	05/20/2019

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Directions to “ LAURA ARMBRUST SLP” Practice Location

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