Watson, Lisa

Watson, Lisa is an individual health care provider with primary practice located at 405 8Th Ave Sw , Mandan ND 58554-4030. 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. Watson, Lisa can be contacted via phone (701) 663-7514.

Contact Information

Primary practice address
405 8Th Ave Sw Mandan ND 58554-4030
Phone: (701) 663-7514
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 699 North Dakota

Profile Details

NPI number 1164576773
LBN Legal business name Watson, Lisa
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 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 1164576773 NPPES
North Dakota MEDICAID 52456

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