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NPI Code Detail

MEDICARE: LINDSAY ANN LISCH MA, CCC-SLP

MEDICARE: LINDSAY ANN LISCH MA, CCC-SLP
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 Pathologist017280-1NY

General Provider Information

NPI Number : 1568608693
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY ANN LISCH MA, CCC-SLP
Provider Business Mailing Address
First Line : 144 BERRY HILL RD
Second Line :
City : OYSTER BAY
State : NY
Zip : 11771-3527
Country : US
Telephone Number : 631-664-2810
Fax Number :
Provider Business Practice Location Address
First Line : 171 MADISON AVE FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5123
Country : US
Telephone Number : 631-664-2810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2008
Last Update Date : 11/05/2018

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Directions to “ LINDSAY ANN LISCH MA, CCC-SLP” Practice Location

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