Lisa Andrea Blackman, MACCC-A
Lisa Andrea Blackman, MACCC-A is a Qualified Audiologist in Philadelphia, Pennsylvania. Qualified in 1975, 51 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 51
- Licensed in
- PA
- In the registry since
- 2006
Practice location Address checks out
1900 Rittenhouse Sq C-1Philadelphia, PA 19103-5767
Phone: (215) 985-4964
Fax: (215) 985-1678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assistive Technology Supplier Audiologist (primary) | Taxonomy 231HA2500X · Licence AT000105L (PA) |
|---|
Record details
| NPI number | 1700801933 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCC-A |
| Sole proprietor | No |
| NPI enumerated | July 12, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | QUALIFIED AUDIOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1975 (51 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Philadelphia
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Susan Wenick Inden, MA
8020 Castor Ave, Philadelphia, PA 19152-2732 · (215) 722-4111