National Provider Identifier

Lisa Marie Henry

Lisa Marie Henry is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Silver Creek, NY and a listed phone number of (716) 934-9603.

NPI 1023376902Silver Creek, NYSpeech-Language Pathologist

Profile Overview

NPI
1023376902
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 27, 2012
Last Updated
April 27, 2012

Practice Location

  • 1 Dickinson St
  • Silver Creek, NY 14136-1637

Phone: (716) 934-9603

Mailing Address

  • 6371 Pincherry Way
  • Lake View, NY 14085-9595

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1023376902
Entity Type
Individual
Last Name
Henry
First Name
Lisa
Middle Name
Marie
Name Prefix
Mrs.
Mailing Street Address
6371 Pincherry Way
Mailing City
Lake View
Mailing State
NY
Mailing ZIP Code
14085-9595
Mailing Country
US
Practice Street Address
1 Dickinson St
Practice City
Silver Creek
Practice State
NY
Practice ZIP Code
14136-1637
Practice Country
US
Practice Phone
(716) 934-9603
Enumeration Date
April 27, 2012
Last Updated
April 27, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)