Organization Name: | LISA BISHOP, MCD,CCC-SLP |
NPI Number: | 1558677559 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA COX BISHOP (SLP/OWNER) |
Mailing Address: | 109 A Chelle Lin Drive Gaffney |
State: | SC US |
Postal Code: | 29341 |
Phone Number: | 8648380768 |
Fax Number: | 8647521072 |
NPI Enumeration Date: | 08/27/2010 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3919 |
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 |