Dicicco, Lisa

Dicicco, Lisa is an individual health care provider with primary practice located at 406 Lippincott Dr Ste G , Marlton NJ 08053-4168. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Dicicco, Lisa can be contacted via phone (856) 334-6293.

Contact Information

Primary practice address
406 Lippincott Dr Ste G Marlton NJ 08053-4168
Phone: (856) 334-6293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1982284022
LBN Legal business name Dicicco, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2021
Last updated Jun 15th, 2021 - about 4 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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