Doctor Name: | MRS. LISA BETH SCHOPF |
NPI Number: | 1699026500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS.,CCC-SLP |
License Number: | SA9175 |
Business Practice Address: | 69 Lindsey Ln Ste. A Kingsland, GA - 315486901 |
Business Phone Number: | 9127292294 |
Business Fax Number: | 9126739457 |
Mailing Address: | 69 Lindsey Ln Ste A, KINGSLAND |
State: | GA |
Postal Code: | 315486902 |
Phone Number: | 9127292294 |
Fax Number: | 9126739457 |
NPI Enumeration Date: | 10/02/2012 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA9175 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |