Individual
LISA LEATHERMAN TALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
2575 PEMBROKE RD, GASTONIA, NC 28054-4712
(704) 747-3788
Mailing address
2575 PEMBROKE RD, GASTONIA, NC 28054-4712
(704) 747-3788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1604062
NC
Other
Enumeration date
07/03/2015
Last updated
07/09/2015
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