Doctor Name: | LISA A INGO |
NPI Number: | 1669654976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | LL00004167 |
Business Practice Address: | 7393 N Creek Loop Nw Gig Harbor, WA - 983356900 |
Business Phone Number: | 2535929205 |
Business Fax Number: | 2534443154 |
Mailing Address: | 7393 N Creek Loop Nw, GIG HARBOR |
State: | WA |
Postal Code: | 983356900 |
Phone Number: | 2535929205 |
Fax Number: | 2534443154 |
NPI Enumeration Date: | 11/28/2007 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00004167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |