Individual
LISA CANNIZZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
36 THOMAS LN, ESSEX JUNCTION, VT 05452
(802) 578-7229
Mailing address
36 THOMAS LN, ESSEX JUNCTION, VT 05452
(802) 578-7229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12031236
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068901
BCBS
VT
01
—
4148094
MVP
VT
Enumeration date
05/15/2007
Last updated
11/24/2009
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