Individual
SUSAN M SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 947-5700
Mailing address
PO BOX 2496, LYNCHBURG, VA 24505-2496
(434) 947-3777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002290
VA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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