Individual
LISA PAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 HARRISON ST, GOODLAND, KS 67735-2149
(785) 821-1152
(785) 821-1152
Mailing address
107 HARRISON ST, GOODLAND, KS 67735-2149
(785) 821-1152
(785) 821-1152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4610
OK
235Z00000X
Speech-Language Pathologist
Primary
731
KS
235Z00000X
Speech-Language Pathologist
SA 13216
FL
235Z00000X
Speech-Language Pathologist
SLP.0001883
CO
235Z00000X
Speech-Language Pathologist
SP 19883
CA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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