Active NPIIndividual providerSole proprietor

Mrs. Lisa M Riversaustin, MS, CCC-SLP

Speech-Language Pathologist, in Mount Vernon, New York

NPI Number1336384171
Practice location
748 S 5TH Ave, Mount Vernon, NY 10550-4960
Fax
—
Last updated
December 8, 2008

Lisa Maria Riversaustin is a Speech-Language Pathologist, based in Mount Vernon, NY. Lisa Maria Riversaustin practices in Mount Vernon, NY and has the professional credentials of MS, CCC-SLP. The NPI Number for Lisa Maria Riversaustin is 1336384171 and holds a License No. 013985 (NY). The current practice location address for Lisa Maria Riversaustin is 748 S 5TH Ave, Mount Vernon, NY 10550-4960 and can be reached out via phone at 914-664-1585.

Provider Profile Details

NPI Number
1336384171
Provider Name
Lisa Maria Riversaustin
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
748 S 5TH Ave, Mount Vernon, NY 10550-4960
Phone Number
914-664-1585
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Other Names
Ms. Lisa Maria Rivers, MS, CCC-SLP (Former Name)
Provider Enumeration Date
December 8, 2008
Last Update Date
December 8, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
748 S 5TH Ave
Mount Vernon, NY 10550-4960
Zip
10550-4960
Phone Number
914-664-1585
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
748 S 5TH Ave
Mount Vernon, NY 10550-4960
City
Mount Vernon
State
NY
Zip
10550-4960
Phone Number
914-664-1585

License Information

License Number
013985
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Lisa M Riversaustin, MS, CCC-SLP?

The NPI number of Mrs. Lisa M Riversaustin, MS, CCC-SLP is 1336384171. It was assigned on December 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lisa M Riversaustin, MS, CCC-SLP?

Mrs. Lisa M Riversaustin, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 013985.

Where does Mrs. Lisa M Riversaustin, MS, CCC-SLP practice?

The practice location is 748 S 5TH Ave, Mount Vernon, NY 10550-4960. The office can be reached at 914-664-1585 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336384171 directly on the NPPES registry website.

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