Provider Demographics
NPI:1831515022
Name:CHANDONAIS, LISA MARIE (AUD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:CHANDONAIS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:MARIE
Other - Last Name:TROMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:114 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1350
Mailing Address - Country:US
Mailing Address - Phone:586-405-3049
Mailing Address - Fax:
Practice Address - Street 1:541 CLEVER RD
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1068
Practice Address - Country:US
Practice Address - Phone:412-239-9148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-11
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006313231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist