Coulter, Lisa Marie

Coulter, Lisa Marie is an individual health care provider with primary practice located at 115 E Arndt St , Fond Du Lac WI 54935-2461. 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. Coulter, Lisa Marie can be contacted via phone (920) 923-7054.

Contact Information

Primary practice address
115 E Arndt St Fond Du Lac WI 54935-2461
Phone: (920) 923-7054
Fax: (920) 923-7058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 9-154 Wisconsin

Profile Details

NPI number 1083826838
LBN Legal business name Coulter, Lisa Marie
Credentials MS-CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 19 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 1083826838 NPPES
Wisconsin MEDICAID 42714000

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