Doctor Name: | MISS LISA MARIE CAMERON |
NPI Number: | 1205013604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 146-008978 |
Business Practice Address: | 921 Hawthorne Ln Geneva, IL - 601343075 |
Business Phone Number: | 3123015472 |
Business Fax Number: | |
Mailing Address: | 921 Hawthorne Ln, GENEVA |
State: | IL |
Postal Code: | 601343075 |
Phone Number: | 3123015472 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2008 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146-008978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |