Individual
HEATHER LISITANO WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06519-1369
(203) 785-2140
(203) 785-6414
Mailing address
PO BOX 9805, 300 GEORGE STREET 6TH FLOOR, NEW HAVEN, CT 06536-0805
(203) 785-7998
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003167
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004226511
—
CT
Enumeration date
11/09/2005
Last updated
06/15/2009
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