Bardach, Lisa Gayle

Bardach, Lisa Gayle is an individual health care provider with primary practice located at 2314 Yorkshire Rd Suite 200, Ann Arbor MI 48104-5041. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bardach, Lisa Gayle can be contacted via phone (734) 973-9670.

Contact Information

Primary practice address
2314 Yorkshire Rd Suite 200 Ann Arbor MI 48104-5041
Phone: (734) 973-9670
Fax: (734) 975-6970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1417165440
LBN Legal business name Bardach, Lisa Gayle
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417165440 NPPES
Other 01080132 ASHA CERTIFICATION

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