Dominesey, Lisa Byler

Dominesey, Lisa Byler is an sole proprietor health care provider with primary practice located at 366 Capstone Ln , Spartanburg SC 29301-5367. 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. Dominesey, Lisa Byler can be contacted via phone (864) 680-2459.

Contact Information

Primary practice address
366 Capstone Ln Spartanburg SC 29301-5367
Phone: (864) 680-2459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3805 South Carolina

Profile Details

NPI number 1962428680
LBN Legal business name Dominesey, Lisa Byler
Credentials MCD, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jul 9th, 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 1962428680 NPPES
South Carolina MEDICAID SA0667

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