Doctor Name: | LISA BAUMHOFER |
NPI Number: | 1275584765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 3253 |
Business Practice Address: | 507 Watts Ave Greenville, SC - 296014357 |
Business Phone Number: | 8643131219 |
Business Fax Number: | 8642422318 |
Mailing Address: | Po Box 8483, GREENVILLE |
State: | SC |
Postal Code: | 296048483 |
Phone Number: | 8643131219 |
Fax Number: | 8642422318 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3253 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |