Individual
MRS. LISA LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10 SHERWOOD ROAD, RIDGEFIELD, CT 06877
(203) 894-1090
Mailing address
10 SHERWOOD ROAD, RIDGEFIELD, CT 06877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015224-1
NY
Other
Enumeration date
03/22/2007
Last updated
02/11/2013
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