Lisa D Wade, SLP
NPI #1396983144 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1396983144
- Entity Type
- Individual
- Name
- Lisa D Wade, SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Feb 2, 2009
- Last Updated
- Feb 2, 2009
Practice Location
- Address
- 368 W PIKE ST
- Address 2
- SUITE 204
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30045-3240
- Phone
- (770) 755-5278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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