Lisa Marchinkoski
Individual provider Active NPI Speech-Language Pathologist · Wallingford, VT
NPI 1922403146 · NPPES record last updated Oct 30, 2014
Key facts
- NPI
- 1922403146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 167 N Main St
Wallingford, VT 05773-9800 - Phone
- (802) 446-3577
- NPI assigned
- Oct 30, 2014
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Leaf Clinic PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | VT | Yes |
Addresses
Primary practice location
167 N Main St
Wallingford, VT 05773-9800
Mailing address
167 N Main St
Wallingford, VT 05773-9800
Phone (802) 446-3577
Other providers in Wallingford, VT
- Lindsey Gail Johnston
- Michael William Kesler
- Peter Francis Lynn
- Elizabeth Tenney Mangan
- Maple Leaf Clinic PC
- Taryn Renae Melen
- Dean JM Mooney
- Seth Joshua Peets
- Recovery House, Inc.
- Jaideep Sikand
All providers in Wallingford, VT · Speech-Language Pathologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2014. 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.