Rothberger, Lisa

Rothberger, Lisa is an individual health care provider with primary practice located at 842 N Highland Ave Ne Suite 275, Atlanta GA 30306-4530. 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. Rothberger, Lisa can be contacted via phone (404) 575-4000.

Contact Information

Primary practice address
842 N Highland Ave Ne Suite 275 Atlanta GA 30306-4530
Fax: (404) 575-4010
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004187 Georgia

Profile Details

NPI number 1487632758
LBN Legal business name Rothberger, Lisa
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Dec 21st, 2010 - about 15 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 1487632758 NPPES
Georgia MEDICAID 098232599A

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