Blackman, Lisa Andrea

Blackman, Lisa Andrea is an individual health care provider with primary practice located at 1900 Rittenhouse Sq C-1, Philadelphia PA 19103-5767. She recently has only one registered license in Speech, Language and Hearing Service Providers / Assistive Technology Supplier, which is considered as her primary health care specialty. Blackman, Lisa Andrea can be contacted via phone (215) 985-4964.

Contact Information

Primary practice address
1900 Rittenhouse Sq C-1 Philadelphia PA 19103-5767
Phone: (215) 985-4964
Fax: (215) 985-1678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X AT000105L Pennsylvania

Profile Details

NPI number 1700801933
LBN Legal business name Blackman, Lisa Andrea
Credentials MA CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1700801933 NPPES
Pennsylvania Other AT000105L AUDIOLOGY LICENSE

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