Individual
LISA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8918 HARMONY CT, OWINGS, MD 20736-9770
(301) 785-2954
Mailing address
8918 HARMONY CT, OWINGS, MD 20736-9770
(301) 785-2954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
02362
MD
235Z00000X
Speech-Language Pathologist
02362
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406409700
—
MD
Enumeration date
04/06/2007
Last updated
04/03/2018
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