Individual
MS. ALICIA MARIE LISITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
153 CORDAVILLE RD, SOUTHBOROUGH, MA 01772-1834
(888) 828-4114
Mailing address
239 INDEPENDENCE DR, CHESTNUT HILL, MA 02467-3628
(860) 614-2265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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