Individual
MRS. LISA C BAMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6929 MATTHEW PL, SPRINGFIELD, VA 22151-3607
(703) 813-1800
Mailing address
7695 LAVENHAM LNDG, ALEXANDRIA, VA 22315-3712
(410) 236-5796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005005
VA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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