Brooks, Lisa M

Brooks, Lisa M is an individual health care provider with primary practice located at 8414 Farm Rd Ste. 180338, Las Vegas NV 89131-8170. 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. Brooks, Lisa M can be contacted via phone (702) 884-9945.

Contact Information

Primary practice address
8414 Farm Rd Ste. 180338 Las Vegas NV 89131-8170
Phone: (702) 884-9945
Fax: (702) 396-6237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP-748 Nevada

Profile Details

NPI number 1104973486
LBN Legal business name Brooks, Lisa M
Credentials M.A., CCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Sep 8th, 2010 - about 16 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 1104973486 NPPES
Nevada MEDICAID 100500959

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