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NPI Code Detail

MEDICARE: LISA H FORSTER MA CCCSLP

MEDICARE:   LISA H FORSTER  MA CCCSLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist3433NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11348COTHERNCBCBS OF NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003830365
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA H FORSTER MA CCCSLP
Provider Business Mailing Address
First Line : 400 UNIVERSITY HALL DRIVE
Second Line : ROOM 120
City : BOONE
State : NC
Zip : 28608-2041
Country : US
Telephone Number : 828-262-2185
Fax Number : 828-262-6766
Provider Business Practice Location Address
First Line : 400 UNIVERSITY HALL DRIVE
Second Line : ROOM 120
City : BOONE
State : NC
Zip : 28608-2041
Country : US
Telephone Number : 828-262-2185
Fax Number : 828-262-6766
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 10/10/2008

Similar Medicare Providers

1851387286 — APPALACHIAN STATE UNIVERSITY
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766
1043232903 — PAMELA A HENSON MS CCCSLP
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766
1952323818 — MARY RUTH SIZER MA, CCCA, FAAA
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766
1679595532 — JENNIFER P VAN GILDER MA, CCC, SLP
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766
1194749457 — DR. TIMOTHY BRETT HARRIS PHD CCCSLP
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766
1306850979 — BLISS HEMRIC MA CCC SLP
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766

Directions to “ LISA H FORSTER MA CCCSLP” Practice Location

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