Doctor Name: | MS. TIA M LOLLIE |
NPI Number: | 1063720258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 151 Helen St Binghamton, NY - 139053437 |
Business Phone Number: | 6077638430 |
Business Fax Number: | |
Mailing Address: | 8 Haskins Ave, BINGHAMTON |
State: | NY |
Postal Code: | 13904 |
Phone Number: | 6077656644 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 09/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |