Individual
LISA HUSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 GRISTMILL DR, FOREST, VA 24551-2627
(434) 385-1074
(434) 385-1342
Mailing address
1135 LEJACK CIR, FOREST, VA 24551-1273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004256
VA
Other
Enumeration date
08/19/2009
Last updated
08/24/2020
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