Doctor Name: | JESSICA LINDSEY LACERTE |
NPI Number: | 1326162090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCCSLP |
License Number: | SL007673 |
Business Practice Address: | 1001 S Valley Forge Rd Lansdale, PA - 194466502 |
Business Phone Number: | 2158559700 |
Business Fax Number: | 2158551927 |
Mailing Address: | 45 Bristol Ct, NORRISTOWN |
State: | PA |
Postal Code: | 194031074 |
Phone Number: | 6103373822 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL007673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |