Doctor Name: | DR. LISA AUDET |
NPI Number: | 1649638594 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, CCC-SLP |
License Number: | SP-3631 |
Business Practice Address: | 77 Milford Dr Hudson, OH - 442362781 |
Business Phone Number: | 3305926779 |
Business Fax Number: | |
Mailing Address: | 77 Milford Dr, HUDSON |
State: | OH |
Postal Code: | 442362781 |
Phone Number: | 3305926779 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2016 |
NPI Last Update Date: | 02/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-3631 |
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 |