Doctor Name: | LISA ROMAN |
NPI Number: | 1881725703 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | 09893-1 |
Business Practice Address: | 1165 Northern Blvd Manhasset, NY - 110303048 |
Business Phone Number: | 5166273036 |
Business Fax Number: | |
Mailing Address: | 1005 N Queens Ave, LINDENHURST |
State: | NY |
Postal Code: | 117572215 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 09893-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |