| Doctor Name: | MRS. LISA MARIE AZZOLINA |
| NPI Number: | 1467675603 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | 41YS003609 |
| Business Practice Address: | 1515 Hulse Rd Point Pleasant Boro, NJ - 087424527 |
| Business Phone Number: | 7322959300 |
| Business Fax Number: | |
| Mailing Address: | 11 Mary Ann Dr, BRICK |
| State: | NJ |
| Postal Code: | 087235817 |
| Phone Number: | 9083073547 |
| Fax Number: | 7322953246 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YS003609 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |