| Doctor Name: | LISA JO ANNE GREENE |
| NPI Number: | 1588994990 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SP10220 |
| Business Practice Address: | 405 Alberto Way Suites D, E And 5 Los Gatos, CA - 950325406 |
| Business Phone Number: | 4088880009 |
| Business Fax Number: | 4083706577 |
| Mailing Address: | 5084 Woodbrae Ct, SARATOGA |
| State: | CA |
| Postal Code: | 950704756 |
| Phone Number: | 4088880009 |
| Fax Number: | 4083706577 |
| NPI Enumeration Date: | 01/06/2010 |
| NPI Last Update Date: | 02/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP10220 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |