Individual
LISA M BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC
Contact information
Practice address
8414 FARM RD, STE. 180338, LAS VEGAS, NV 89131-8170
(702) 884-9945
(702) 396-6237
Mailing address
8414 FARM RD, STE. 180338, LAS VEGAS, NV 89131-8170
(702) 884-9945
(702) 396-6237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-748
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500959
—
NV
Enumeration date
01/05/2007
Last updated
09/08/2010
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