Individual
LISA GREENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 LLOYD LN, WYNNEWOOD, PA 19096-3322
(215) 588-0033
Mailing address
254 LLOYD LN, WYNNEWOOD, PA 19096-3322
(215) 588-0033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006171L
PA
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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