Individual
AMANDA LISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3835 14TH ST SW, LOVELAND, CO 80537-6675
(970) 541-1507
Mailing address
4150 BALSA CT, LOVELAND, CO 80538-2112
(720) 366-8363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
314335
CO
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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