Provider Demographics
NPI:1174773832
Name:LOEFFERT, RICHARD HARDING (MASTER OF EDUCATION)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:HARDING
Last Name:LOEFFERT
Suffix:
Gender:M
Credentials:MASTER OF EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 12TH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1217
Mailing Address - Country:US
Mailing Address - Phone:814-437-3071
Mailing Address - Fax:814-432-2269
Practice Address - Street 1:200 12TH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1217
Practice Address - Country:US
Practice Address - Phone:814-437-3071
Practice Address - Fax:814-432-2269
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000651L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist