MRS. Lisa Rae Augustine, MS, CCC-SLP
NPI #1861775777 in Middletown, Maryland
Provider Information
- NPI Number
- 1861775777
- Entity Type
- Individual
- Name
- MRS. Lisa Rae Augustine, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Sep 27, 2011
- Last Updated
- Sep 27, 2011
Practice Location
- Address
- 8170 HOLLOW ROAD
- City
- Middletown
- State
- Maryland
- ZIP Code
- 21769
- Phone
- (301) 371-3474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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