Doctor Name: | LISA PARRY |
NPI Number: | 1588069363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP7403 |
Business Practice Address: | 650 Broad St Wadsworth, OH - 442812318 |
Business Phone Number: | 3303351420 |
Business Fax Number: | |
Mailing Address: | 6977 Fairhaven Oval Dr, MEDINA |
State: | OH |
Postal Code: | 442566384 |
Phone Number: | 3304412259 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2014 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP7403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |