Active NPIIndividual providerSole proprietor

Mrs. Lisa B Desautels, SLP

Speech-Language Pathologist, in Longmeadow, Massachusetts

NPI Number1962051888
Practice location
24 Tabor Xing Ste D34, Longmeadow, MA 01106-1785
Fax
—
Last updated
September 4, 2019

Lisa Borelli Desautels is a Speech-Language Pathologist, based in Longmeadow, MA. Lisa Borelli Desautels practices in Longmeadow, MA and has the professional credentials of SLP. The NPI Number for Lisa Borelli Desautels is 1962051888 and holds a License No. 4263. The current practice location address for Lisa Borelli Desautels is 24 Tabor Xing Ste D34, Longmeadow, MA 01106-1785 and can be reached out via phone at 413-567-7800.

Provider Profile Details

NPI Number
1962051888
Provider Name
Lisa Borelli Desautels
Credential
SLP
Provider Entity Type
Individual
Gender
Female
Address
24 Tabor Xing Ste D34, Longmeadow, MA 01106-1785
Phone Number
413-567-7800
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 4, 2019
Last Update Date
September 4, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Tabor Xing Ste D34
Longmeadow, MA 01106-1785
Zip
01106-1785
Phone Number
413-567-7800
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
206 Hazardville RD
Longmeadow, MA 01106-3331
City
Longmeadow
State
MA
Zip
01106-3331
Phone Number
413-519-2295

License Information

License Number (1)
4263
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
4263
License State (2)
MA
Taxonomy (2)
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 B Desautels, SLP?

The NPI number of Mrs. Lisa B Desautels, SLP is 1962051888. It was assigned on September 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lisa B Desautels, SLP?

Mrs. Lisa B Desautels, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed under license number 4263.

Where does Mrs. Lisa B Desautels, SLP practice?

The practice location is 24 Tabor Xing Ste D34, Longmeadow, MA 01106-1785. The office can be reached at 413-567-7800 (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 1962051888 directly on the NPPES registry website.

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