Individual
JENNIFER M LISBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC/SLP
Contact information
Practice address
130 N 2ND ST UNIT 2C, PHILADELPHIA, PA 19106-4604
(610) 316-9641
Mailing address
130 N 2ND ST UNIT 2C, PHILADELPHIA, PA 19106-4604
(610) 316-9641
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009455
PA
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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