Doctor Name: | LISA ROY |
NPI Number: | 1205117264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 4000 |
Business Practice Address: | 42 Hiller Rd Rochester, MA - 027704023 |
Business Phone Number: | 5087635896 |
Business Fax Number: | |
Mailing Address: | 533 Middle Rd, ACUSHNET |
State: | MA |
Postal Code: | 027431944 |
Phone Number: | 5089953460 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2011 |
NPI Last Update Date: | 11/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |