Individual
MRS. LISA THERESE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
SKIPWITH ELEMENTARY SCHOOL, 2401 SKIPWITH RD., HENRICO, VA 23294
(804) 527-4650
(804) 527-4664
Mailing address
P.O.BOX 23120, 3820 NINE MILE RD. HENRICO PUBLIC SCHOOLS, HENRICO, VA 23223
(804) 652-3600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000325
VA
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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