Healthcare Provider Details

I. General information

NPI: 1366353468
Provider Name (Legal Business Name): LIZBETH FRANJUL CCC-SLP,TSSLD-BE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3617 BAINBRIDGE AVE
BRONX NY
10467-1168
US

IV. Provider business mailing address

3 DILLON RD APT 7C
LARCHMONT NY
10538-3448
US

V. Phone/Fax

Practice location:
  • Phone: 718-515-0410
  • Fax:
Mailing address:
  • Phone: 929-284-9389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14446981
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: