Provider Demographics
NPI:1447844451
Name:KUHL, LISA DIANE (SLP)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:DIANE
Last Name:KUHL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11090 POINT AUX CHENES RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-0618
Mailing Address - Country:US
Mailing Address - Phone:919-616-4339
Mailing Address - Fax:
Practice Address - Street 1:11090 POINT AUX CHENES RD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-0618
Practice Address - Country:US
Practice Address - Phone:919-616-4339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist