Doctor Name: | LISA JAYNE LECAVALIER |
NPI Number: | 1871898593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | LL 60016411 |
Business Practice Address: | 35535 6th Place Sw Federal Way, WA - 980238110 |
Business Phone Number: | 2538745445 |
Business Fax Number: | |
Mailing Address: | Po Box 24269, FEDERAL WAY |
State: | WA |
Postal Code: | 980931269 |
Phone Number: | 2538745445 |
Fax Number: | 2538740687 |
NPI Enumeration Date: | 01/12/2011 |
NPI Last Update Date: | 01/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL 60016411 |
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 |