Individual
LISA MARIE WEIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1450 MARLTON PIKE E, CHERRY HILL, NJ 08034-2244
(856) 428-1879
Mailing address
15 TENBY LN, MARLTON, NJ 08053-5300
(609) 351-3945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00560300
NJ
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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