National Provider Identifier

Lisa A Harrison, M.S.CCC;SLP

Lisa A Harrison, M.S.CCC;SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 350-9888.

NPI 1629162680Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1629162680
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 03, 2006
Last Updated
January 12, 2012

Practice Location

  • 965 N Goodman St
  • Rochester, NY 14609-3930

Phone: (585) 350-9888

Mailing Address

  • 216 Judson St
  • Rochester, NY 14580

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1629162680
Entity Type
Individual
Last Name
Harrison
First Name
Lisa
Middle Name
A
Name Prefix
Mrs.
Credential
M.S.CCC;SLP
Mailing Street Address
216 Judson St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14580
Mailing Country
US
Mailing Phone
(585) 350-9888
Practice Street Address
965 N Goodman St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-3930
Practice Country
US
Practice Phone
(585) 350-9888
Practice Fax
(585) 288-3654
Enumeration Date
October 03, 2006
Last Updated
January 12, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
30-0213081 (NY, Tax Id)