Individual
LISA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 BOWMAN CT, DOWNINGTOWN, PA 19335-1565
(484) 678-1487
Mailing address
90 BOWMAN CT, DOWNINGTOWN, PA 19335-1565
(484) 678-1487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006091L
PA
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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