Peterson, Lisa Oelhafen

Peterson, Lisa Oelhafen is an individual health care provider with primary practice located at 10516 Park Rd , Charlotte NC 28210-8405. 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. Peterson, Lisa Oelhafen can be contacted via phone (704) 541-9080.

Contact Information

Primary practice address
10516 Park Rd Charlotte NC 28210-8405
Phone: (704) 541-9080
Fax: (704) 542-0699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5121 North Carolina

Profile Details

NPI number 1639148760
LBN Legal business name Peterson, Lisa Oelhafen
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 7th, 2013 - about 13 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 1639148760 NPPES
North Carolina MEDICAID 7411683

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