Individual
LISA FORRESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1900 WHITE OAK AVE, BALTIMORE, MD 21234-3846
(410) 887-5238
Mailing address
504 HAMPTON LN, TOWSON, MD 21286-1310
(410) 952-8669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3030
MD
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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