Doctor Name: | HEATHER LISITANO WARNER |
NPI Number: | 1942281522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC/SLP |
License Number: | 003167 |
Business Practice Address: | 800 Howard Ave Yale Physicians Building New Haven, CT - 065191369 |
Business Phone Number: | 2037852140 |
Business Fax Number: | 2037856414 |
Mailing Address: | Po Box 9805, 300 George Street 6th Floor NEW HAVEN |
State: | CT |
Postal Code: | 065360805 |
Phone Number: | 2037857998 |
Fax Number: | 2037856414 |
NPI Enumeration Date: | 11/09/2005 |
NPI Last Update Date: | 06/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |