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Lisa Andrea Blackman, MACCC-A
Assistive Technology Supplier Audiologist in Philadelphia, Pennsylvania
NPI 1700801933

Lisa Andrea Blackman is an Assistive Technology Supplier Audiologist based in Philadelphia, PA and is specialized in Assistive Technology Supplier. Lisa Andrea Blackman practices in Philadelphia, PA and has the professional credentials of MACCC-A. The NPI Number for Lisa Andrea Blackman is 1700801933 and holds a License No. AT000105L (Pennsylvania).

The current practice location address for Lisa Andrea Blackman is 1900 Rittenhouse Sq, Philadelphia, PA and can be reached out via phone at 215-985-4964 and via fax at 215-985-1678.

Location: 1900 Rittenhouse Sq, Philadelphia, PA, 19103-5767
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Provider Profile Details
NPI Number
1700801933
Provider Name
Lisa Andrea Blackman
Credential
MACCC-A
Provider Entity Type
Individual
Gender
Female
Address
1900 Rittenhouse Sq, Philadelphia, PA, 19103-5767
Phone Number
215-985-4964
Fax Number
215-985-1678
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AT000105L 01 PA AUDIOLOGY LICENSE
institution
Provider Business Practice Location Address Details
Address
1900 Rittenhouse Sq
City
State
Zip
19103-5767
Phone Number
215-985-4964
Fax Number
215-985-1678
person
Provider Business Mailing Address Details
Address
1900 Rittenhouse Sq
City
State
Zip
19103-5767
Phone Number
215-985-4964
Fax Number
215-985-1678
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Audiologist
Speciality
Assistive Technology Supplier
Taxonomy
License No.
AT000105L (Pennsylvania)
Definition
Definition to come...
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