Doctor Name: | LISA ANN BRODJIESKI |
NPI Number: | 1285754051 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 06107 |
Business Practice Address: | 9145 Guilford Rd Suite 100 Columbia, MD - 210461883 |
Business Phone Number: | 4108804215 |
Business Fax Number: | |
Mailing Address: | 301 Edgemere Dr, ANNAPOLIS |
State: | MD |
Postal Code: | 214033914 |
Phone Number: | 4108774634 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 11/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 06107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |