Doctor Name: | LISA QUIGLEY |
NPI Number: | 1669885976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | Q-240-522-585-579 |
Business Practice Address: | 150 Point O'woods Road Williamsburg, VA - 231887052 |
Business Phone Number: | 7575663300 |
Business Fax Number: | 7575668977 |
Mailing Address: | Po Box 280, NORGE |
State: | VA |
Postal Code: | 231270280 |
Phone Number: | 7575663300 |
Fax Number: | 7575668977 |
NPI Enumeration Date: | 06/04/2014 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | Q-240-522-585-579 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |