Provider Demographics
NPI:1699044479
Name:TOOMEY, LISA C (NYS, LSP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:C
Last Name:TOOMEY
Suffix:
Gender:F
Credentials:NYS, LSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WOODBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12037-1317
Mailing Address - Country:US
Mailing Address - Phone:518-392-1530
Mailing Address - Fax:
Practice Address - Street 1:50 WOODBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NY
Practice Address - Zip Code:12037-1317
Practice Address - Country:US
Practice Address - Phone:518-392-1530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005718-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist