Blake, Lisa
Blake, Lisa is an individual health care provider with primary practice located at 11111 Houze Rd Suite 101, Roswell GA 30076-5663. 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. Blake, Lisa can be contacted via phone (770) 998-9599.Contact Information
Primary practice address
11111 Houze Rd Suite 101
Roswell GA 30076-5663
Phone: (770) 998-9599
Fax: (770) 645-1313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006806 | Georgia |
Profile Details
| NPI number | 1033384540 |
|---|---|
| LBN Legal business name | Blake, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Apr 25th, 2008 - about 16 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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