Individual
MRS. LISA MARIE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,C.C.C. - SLP
Contact information
Practice address
4009 REDWOOD DR, BETHLEHEM, PA 18020-7665
(610) 954-9290
Mailing address
4009 REDWOOD DR, BETHLEHEM, PA 18020-7665
(610) 954-9290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006181L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019279570003
—
PA
Enumeration date
03/08/2007
Last updated
07/08/2007
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