MRS. LISA C BAMBERGER M.S. CCC-SLP - NPI 1255905592 - Speech-Language Pathologist in Springfield, VA

Q: What is Lisa Bamberger's NPI number?

The NPI number for Lisa Bamberger is 1255905592. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Q: What is Lisa Bamberger's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Bamberger was last updated on May 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Lisa C Bamberger M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA C BAMBERGER M.S. CCC-SLP (NPI 1255905592) is an individual speech-language pathologist provider in Springfield, Virginia, licensed in Virginia (2202005005) and active in the NPI registry since May 2021. She is a graduate of Other (1990).

NPPES Registry Identity

NPI1255905592

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. LISA C BAMBERGERCredential: M.S. CCC-SLP

Location Address6929 MATTHEW PLSpringfield, VA 22151-3607

Mailing Address7695 Lavenham LndgAlexandria, VA 22315-3712 · (410) 236-5796

Phone(703) 813-1800

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateMay 19, 2021

NPPES CertifiedMay 19, 2021

✔ NPI 1255905592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in VA · 2202005005

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

6929 MATTHEW PL, Springfield, VA 22151

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa C Bamberger M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789108374

PECOS Enrollment IDI20250404000494

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS PAMELA ELAINE PATZ M.S./CCC/SLP

Speech-Language Pathologist