Active NPIIndividual providerSole proprietor

Ms. Dana M Liston, MS CCC-SLP

Speech-Language Pathologist, in Pennsauken, New Jersey

NPI Number1831482900
Practice location
5101 N Park Dr, Pennsauken, NJ 08109-4643
Fax
—
Last updated
May 24, 2011

Dana Marie Liston is a Speech-Language Pathologist, based in Pennsauken, NJ. Dana Marie Liston practices in Pennsauken, NJ and has the professional credentials of MS CCC-SLP. The NPI Number for Dana Marie Liston is 1831482900 and holds a License No. 41YS00571300 (NJ). The current practice location address for Dana Marie Liston is 5101 N Park Dr, Pennsauken, NJ 08109-4643 and can be reached out via phone at 856-665-9111.

Provider Profile Details

NPI Number
1831482900
Provider Name
Dana Marie Liston
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
5101 N Park Dr, Pennsauken, NJ 08109-4643
Phone Number
856-665-9111
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 24, 2011
Last Update Date
May 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
5101 N Park Dr
Pennsauken, NJ 08109-4643
Zip
08109-4643
Phone Number
856-665-9111
Pennsauken, NJ 08109Get directions →

Provider Business Mailing Address Details

Address
5101 N Park Dr
Pennsauken, NJ 08109-4643
City
Pennsauken
State
NJ
Zip
08109-4643
Phone Number
856-665-9111

License Information

License Number
41YS00571300
License State
NJ
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 Ms. Dana M Liston, MS CCC-SLP?

The NPI number of Ms. Dana M Liston, MS CCC-SLP is 1831482900. It was assigned on May 24, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Dana M Liston, MS CCC-SLP?

Ms. Dana M Liston, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00571300.

Where does Ms. Dana M Liston, MS CCC-SLP practice?

The practice location is 5101 N Park Dr, Pennsauken, NJ 08109-4643. The office can be reached at 856-665-9111 (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 1831482900 directly on the NPPES registry website.

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