Lisa Kathleen Berg-Anderson in Eastport - Speech-language Pathologist
Lisa Kathleen Berg-Anderson - NPI 1104952837
Lisa Kathleen Berg-Anderson is a Speech-language Pathologist in Eastport, New York. Lisa Kathleen Berg-Anderson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lisa Kathleen Berg-Anderson is 1104952837. The last update date is 2007-07-08.
Lisa Kathleen Berg-Anderson's current location address is 42 Tuttle Ave, Eastport, New York. You can contact this provider via phone number 6318980261. The mailing address for Lisa Kathleen Berg-Anderson is 42 Tuttle Ave, Eastport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Kathleen Berg-Anderson |
|---|---|
| Address | 42 Tuttle Ave, Eastport, New York |
| Phone Number | 6318980261 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1104952837 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 42 Tuttle Ave |
|---|---|
| City | Eastport |
| State | New York (NY) |
| Post Code | 119411307 |
| Phone Number | 6318980261 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 007683-1 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique 10-digit identification code issued to Lisa Kathleen Berg-Anderson by the Centers for Medicare & Medicaid Services?
The Lisa Kathleen Berg-Anderson has been assigned the NPI (National Provider Identifier) 1104952837 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Lisa Kathleen Berg-Anderson?
The Lisa Kathleen Berg-Anderson is physically situated at 42 Tuttle Ave, in the city of Eastport, state of NY, with the postal code 119411307.
What is the Lisa Kathleen Berg-Anderson's specialty and taxonomy code?
The Lisa Kathleen Berg-Anderson's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104952837 to Lisa Kathleen Berg-Anderson?
The Centers for Medicare & Medicaid Services assigned the 1104952837 to Lisa Kathleen Berg-Anderson on 2007-02-26.
When was the information related to Lisa Kathleen Berg-Anderson most recently updated or refreshed?
The details pertaining to the Lisa Kathleen Berg-Anderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.