Lisa O'Brien, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Morton, PA
NPI 1396453080 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1396453080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLO16188 (PA)
- Practice address
- 200 Yale Ave
Morton, PA 19070-1918 - Phone
- (610) 938-9000
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLO16188 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLO16188 | PA | Yes |
Addresses
Primary practice location
200 Yale Ave
Morton, PA 19070-1918
Mailing address
1406 Virginia Ave
Havertown, PA 19083-2011
Other providers in Morton, PA
- Christy L Marzzacco
- Shawn Francis McGinley
- Irene B. Merenda
- Nicole Mitchell
- Philip Douglas Morrison
- Kelly Ongsueng
- Precision Ortho Supply LLC
- Maxime Prieto
- Qsmedcare
- Andrew Reimann
All providers in Morton, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.