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Organization

LISA M. MARSHALL

Active
Other names
Kidz Zone Pediatric Speech Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
LISA M. MARSHALL MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(423) 254-1978
Entity
Organization

Contact information

Practice address
420 W MORRIS BLVD, SUITE 300, MORRISTOWN, TN 37813-2283
(423) 254-1978
(423) 289-1072
Mailing address
PO BOX 1091, MORRISTOWN, TN 37816-1091
(423) 254-1978
(423) 289-1072

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5440980
TN
Enumeration date
04/23/2007
Last updated
02/03/2014
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