Black, Lisa

Black, Lisa is an individual health care provider with primary practice located at 5400 Laurel Springs Pkwy Bldg 400 #404, Suwanee GA 30024-6056. 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. Black, Lisa can be contacted via phone (678) 473-9954.

Contact Information

Primary practice address
5400 Laurel Springs Pkwy Bldg 400 #404 Suwanee GA 30024-6056
Phone: (678) 473-9954
Fax: (678) 931-0105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 14052341 Georgia

Profile Details

NPI number 1801255161
LBN Legal business name Black, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2016
Last updated Feb 10th, 2020 - about 6 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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