Individual
DANA LISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CRAIG RD STE 207, MANALAPAN, NJ 07726-8742
(732) 431-5093
Mailing address
18 SAINT JOHNS DR, FREEHOLD, NJ 07728-8868
(732) 604-5898
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01143900
NJ
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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