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Mrs. Lisa Jean Wise, MACCCSLP
Speech-Language Pathologist in Vandalia, Missouri
NPI 1316072903

Lisa Jean Wise is a Speech-Language Pathologist based in Vandalia, MO. Lisa Jean Wise practices in Vandalia, MO and has the professional credentials of MACCCSLP. The NPI Number for Lisa Jean Wise is 1316072903 and holds a License No. 2002013175 (Missouri).

The current practice location address for Lisa Jean Wise is 2200 W Highway 54, Vandalia, MO and can be reached out via phone at 573-594-6111 and via fax at 573-594-2878.

Location: 2200 W Highway 54, Vandalia, MO, 63382-4408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316072903
Provider Name
Lisa Jean Wise
Credential
MACCCSLP
Provider Entity Type
Individual
Gender
Female
Address
2200 W Highway 54, Vandalia, MO, 63382-4408
Phone Number
573-594-6111
Fax Number
573-594-2878
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
467477907 05 MO
institution
Provider Business Practice Location Address Details
Address
2200 W Highway 54
City
Vandalia
State
Missouri
Zip
63382-1130
Phone Number
573-594-6111
Fax Number
573-594-2878
person
Provider Business Mailing Address Details
Address
2200 W Highway 54
City
Vandalia
State
Missouri
Zip
63382-1130
Phone Number
573-594-6111
Fax Number
573-594-2878
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
2002013175 (Missouri)
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.
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