Doctor Name: | LISA J REMER |
NPI Number: | 1043447188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,CCC-SLP |
License Number: | 05047 |
Business Practice Address: | 24 Truck House Rd Severna Park, MD - 211462715 |
Business Phone Number: | 4105444220 |
Business Fax Number: | 4106479484 |
Mailing Address: | 24 Truck House Rd, SEVERNA PARK |
State: | MD |
Postal Code: | 211462715 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/16/2009 |
NPI Last Update Date: | 06/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 05047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |