National Provider Identifier

Lisa C. Stewart

Lisa C. Stewart is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-4660.

NPI 1962799627Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1962799627
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
July 01, 2011
Last Updated
August 31, 2011

Practice Location

  • 41 O'Connor Road
  • Fairport, NY 14450

Phone: (585) 377-4660

Mailing Address

  • 41 O' Connor Road
  • Fairport, NY 14450

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1962799627
Entity Type
Individual
Last Name
Stewart
First Name
Lisa
Middle Name
C.
Provider Other Last Name
Stewart
Provider Other First Name
Lisa
Provider Other Middle Name
Christine
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
2
Mailing Street Address
41 O' Connor Road
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450
Mailing Country
US
Mailing Phone
(585) 377-4660
Practice Street Address
41 O'Connor Road
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 377-4660
Enumeration Date
July 01, 2011
Last Updated
August 31, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)