Provider Demographics
NPI:1982738522
Name:STROTHER, LISA KIRK (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:KIRK
Last Name:STROTHER
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10230 LASARO WAY
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6419
Mailing Address - Country:US
Mailing Address - Phone:704-618-2838
Mailing Address - Fax:
Practice Address - Street 1:10230 LASARO WAY
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6419
Practice Address - Country:US
Practice Address - Phone:704-618-2838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6788235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist