Doctor Name: | LISA MARIE MACLEOD |
NPI Number: | 1790981736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP1382 |
Business Practice Address: | 207 Freedom Point Rd. Freedom, NH - 03836 |
Business Phone Number: | 6032448801 |
Business Fax Number: | |
Mailing Address: | Po Box 37, FREEDOM |
State: | NH |
Postal Code: | 038360037 |
Phone Number: | 6035394134 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 08/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |