Individual
LISA GEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 TERREBONNE RD, YORKTOWN, VA 23692-4817
(443) 854-7684
Mailing address
104 YORKVIEW RD, YORKTOWN, VA 23692-4246
(443) 854-7684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
03637
MD
235Z00000X
Speech-Language Pathologist
Primary
2202006716
VA
Other
Enumeration date
05/03/2013
Last updated
07/23/2021
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