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Contact Information

LISA PHUNG, SLP
300 CHURCH ST
UNIT 102
WALLINGFORD, CT06492-2253
 Phone: 203-410-0974
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for LISA PHUNG · (Female)

NPI # 1740634799
Status Active
Credentials SLP (Speech-Language Pathologists)
Entity Individual
Enumeration date 04/15/2016
Last updated 04/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 4021
  • CT Other 462195986 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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