Lisette Hernandez, SLP
Individual provider Active NPI Speech-Language Pathologist · Monroe, GA
NPI 1679697692 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679697692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP005291 (GA)
- Practice address
- 226 Alcovy St
Suite G-1
Monroe, GA 30655-2183 - Phone
- (770) 207-9043
- Fax
- (770) 207-9029
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP005291 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children & Adult Therapy Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005291 | GA | Yes |
Addresses
Primary practice location
226 Alcovy St
Suite G-1
Monroe, GA 30655-2183
Mailing address
226 Alcovy St
Suite G-1, P.O. Box 1250
Monroe, GA 30655-2183
Phone (770) 207-9043
Other providers in Monroe, GA
- Healthy Home Transitions
- Hearing Improvement Center of Monroe, LLC
- Holly Angelica Star Henderson
- Sierra Henson
- Heras Healthcare
- Andrea V Hill
- Nathaniel Leon Hill II
- Chrystal Hillman
- Mary Hinch
- Daniel Alvin Hodges
All providers in Monroe, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.