Brogdon, Lisa Hales

Brogdon, Lisa Hales is an sole proprietor health care provider with primary practice located at 8031 Us Bus Hwy 70W , Clayton NC 27520-4807. 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. Brogdon, Lisa Hales can be contacted via phone (919) 630-9040.

Contact Information

Primary practice address
8031 Us Bus Hwy 70W Clayton NC 27520-4807
Fax: (919) 553-3836
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3916 North Carolina

Profile Details

NPI number 1508982307
LBN Legal business name Brogdon, Lisa Hales
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Dec 5th, 2012 - about 13 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 1508982307 NPPES
North Carolina Other 10240 BCBS
North Carolina MEDICAID 7411112 BCBS

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