LISA F MODELL
Speech and Language Pathologist


Address: 3133 Rochambeau Ave Apt 4b, Bronx, NY 10467-3833

LISA F MODELL (Credential# 887845) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

LISA F MODELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.004163. The credential type is speech and language pathologist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 3133 Rochambeau Ave Apt 4b, Bronx, NY 10467-3833. The current status is active.

Basic Information

Licensee Name LISA F MODELL
Credential ID 887845
Credential Number 18.004163
Credential Type Speech and Language Pathologist
Business Address 3133 Rochambeau Ave Apt 4b
Bronx
NY 10467-3833
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-08-13
Effective Date 2020-01-01
Expiration Date 2020-12-31
Refresh Date 2020-03-03

Office Location

Street Address 3133 Rochambeau Ave Apt 4B
City BRONX
State NY
Zip Code 10467-3833

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Sabrina Dewar 829 East 219 Street, Bronx, NY 10467 Registered Nurse 2020-03-18 ~ 2020-07-31
Krishna Mae Frias Samson 3409 Dekalb Ave., Bronx, NY 10467 Registered Nurse 2020-02-20 ~ 2020-11-30
Augusta Osuoha 2551 Cruger Ave, Bronx, NY 10467 Pharmacist 2020-02-19 ~ 2022-01-31
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City BRONX
Zip Code 10467
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + BRONX

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Lisa A Judelson 135 Village Sq Dr, New Britain, CT 06053 Speech and Language Pathologist 1996-07-16 ~ 1997-07-31
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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