Provider Demographics
NPI:1861640245
Name:BIZON, LISA ANN (MED, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:ANN
Last Name:BIZON
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9272 MARSHALL RD
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-2858
Mailing Address - Country:US
Mailing Address - Phone:412-512-8888
Mailing Address - Fax:
Practice Address - Street 1:9272 MARSHALL RD
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-2858
Practice Address - Country:US
Practice Address - Phone:412-512-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003855L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist