Healthcare Provider Details

I. General information

NPI: 1427304427
Provider Name (Legal Business Name): LISA FONT CAREY MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2012
Last Update Date: 02/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 COLLEGE PKWY
COLCHESTER VT
05446-3007
US

IV. Provider business mailing address

774 W HILL RD
STOWE VT
05672-4214
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-3970
  • Fax:
Mailing address:
  • Phone: 978-580-5774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: