Johnson, Lisa

Johnson, Lisa is an individual health care provider with primary practice located at 92 Bayberry Rd , Wading River NY 11792-1801. 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. Johnson, Lisa can be contacted via phone (631) 929-0229.

Contact Information

Primary practice address
92 Bayberry Rd Wading River NY 11792-1801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 005325-1 New York

Profile Details

NPI number 1922302157
LBN Legal business name Johnson, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2011
Last updated Jan 3rd, 2011 - about 14 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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