Pedersen, Lisa Carol

Pedersen, Lisa Carol is an individual health care provider with primary practice located at 119 South Ave , Webster NY 14580-3559. 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. Pedersen, Lisa Carol can be contacted via phone (585) 216-0000.

Contact Information

Primary practice address
119 South Ave Webster NY 14580-3559
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 006847 New York

Profile Details

NPI number 1093092512
LBN Legal business name Pedersen, Lisa Carol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2011
Last updated Nov 11th, 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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