Perez, Lisa Marie

Perez, Lisa Marie is an sole proprietor health care provider with primary practice located at 4009 Redwood Dr , Bethlehem PA 18020-7665. 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. Perez, Lisa Marie can be contacted via phone (610) 954-9290.

Contact Information

Primary practice address
4009 Redwood Dr Bethlehem PA 18020-7665
Phone: (610) 954-9290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL006181L Pennsylvania

Profile Details

NPI number 1750412904
LBN Legal business name Perez, Lisa Marie
Credentials M.S.,C.C.C. - SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1750412904 NPPES
Pennsylvania MEDICAID 0019279570003

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