Dibiase, Lisa

Dibiase, Lisa is an sole proprietor health care provider with primary practice located at 642 May Apple Ln , Carbondale IL 62903-7680. 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. Dibiase, Lisa can be contacted via phone (618) 529-7959.

Contact Information

Primary practice address
642 May Apple Ln Carbondale IL 62903-7680
Phone: (618) 529-7959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.009607 Illinois

Profile Details

NPI number 1487942892
LBN Legal business name Dibiase, Lisa
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2011
Last updated Jul 19th, 2011 - about 15 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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