Doctor Name: | LISA SEACRIST |
NPI Number: | 1003128554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 011005 |
Business Practice Address: | 7158 Austin St #3g Forest Hills, NY - 113754732 |
Business Phone Number: | 7182680847 |
Business Fax Number: | 7182680847 |
Mailing Address: | 7158 Austin St, #3g FOREST HILLS |
State: | NY |
Postal Code: | 113754732 |
Phone Number: | 7182680847 |
Fax Number: | 7182680847 |
NPI Enumeration Date: | 07/12/2010 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 011005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |