Doctor Name: | LAUREN KISVER |
NPI Number: | 1750565669 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 7206 |
Business Practice Address: | 12 Walnut St Unit 7 Natick, MA - 017603562 |
Business Phone Number: | 6177717520 |
Business Fax Number: | |
Mailing Address: | 12 Walnut St, Unit 7 NATICK |
State: | MA |
Postal Code: | 017603562 |
Phone Number: | 6177717520 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2007 |
NPI Last Update Date: | 12/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |