| Doctor Name: | LISA M MOWRY |
| NPI Number: | 1205953148 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC |
| License Number: | 001725 |
| Business Practice Address: | 1 Abrahms Blvd West Hartford, CT - 061171508 |
| Business Phone Number: | 8605233860 |
| Business Fax Number: | 8605233819 |
| Mailing Address: | 200 Norton Rd, KENSINGTON |
| State: | CT |
| Postal Code: | 060372922 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2007 |
| NPI Last Update Date: | 09/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 001725 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| 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 |