Lisamarie Brea
Speech-Language Pathologist, in Ridgewood, NY. Individual provider (NPI-1).
NPI number1962010918
StatusActive
Last updated in NPPESJul 15, 2020
Details
- NPI
- 1962010918
- Entity type
- Individual (NPI-1)
- Name
- Lisamarie Brea
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2020
- Certification date
- Jul 15, 2020
- Last updated
- Jul 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 14334960 | NY | Yes |
Practice location
1715 Weirfield StRidgewood, NY 11385-5351
Phone 718-417-2840
Mailing address
244 Fieldston Ter Apt 5gBronx, NY 10471-3034
Phone 516-320-0234
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All 49 Speech-Language Pathologist providers in Ridgewood · All 847 providers in Ridgewood
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