Doctor Name: | ELIZABETH ANN EISENMAN |
NPI Number: | 1134382773 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | SL004488L |
Business Practice Address: | 5500 Brooktree Rd Suit 102 Wexford, PA - 150909260 |
Business Phone Number: | 8006771202 |
Business Fax Number: | |
Mailing Address: | 16553 Conovale Dr, HAGERSTOWN |
State: | MD |
Postal Code: | 217401191 |
Phone Number: | 7172614174 |
Fax Number: | 7172611092 |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 07/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL004488L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |