Knudsen, Lisa

Knudsen, Lisa is an individual health care provider with primary practice located at 1000 Eddy Street , Providence RI 02905. 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. Knudsen, Lisa can be contacted via phone (401) 533-9100.

Contact Information

Primary practice address
1000 Eddy Street Providence RI 02905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 53064 Rhode Island

Profile Details

NPI number 1184875148
LBN Legal business name Knudsen, Lisa
Credentials M.S.,SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Oct 8th, 2008 - about 18 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 1184875148 NPPES
Rhode Island Other 4600103 MEETING STREET

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