| Doctor Name: | LISA LITTLETON HOMER |
| NPI Number: | 1144576794 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC/SLP |
| License Number: | KY2808 |
| Business Practice Address: | 4600 Bowling Blvd Louisville, KY - 402075155 |
| Business Phone Number: | 5028957887 |
| Business Fax Number: | 5027217500 |
| Mailing Address: | 2222 Sullivan Trl, EASTON |
| State: | PA |
| Postal Code: | 180407958 |
| Phone Number: | 8009449782 |
| Fax Number: | 6104382046 |
| NPI Enumeration Date: | 08/01/2012 |
| NPI Last Update Date: | 08/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | KY2808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| 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 |