Provider Demographics
NPI:1164448817
Name:PERHACS, LISA ANN (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANN
Last Name:PERHACS
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 ORLANDO DR
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-2124
Mailing Address - Country:US
Mailing Address - Phone:908-575-7800
Mailing Address - Fax:908-575-7619
Practice Address - Street 1:158 ORLANDO DR
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-2124
Practice Address - Country:US
Practice Address - Phone:908-575-7800
Practice Address - Fax:908-575-7619
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00062400231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist