Individual provider · Type 1 NPI

Lisa Rae McBride, M.S., CCC-SLP

Speech-Language Pathologist · Idaho Falls, ID

NPI number 1104910553 Active

Practice location

3446 Merlin
Idaho Falls, ID 83404

Call (208) 523-3662 Map

Fax (208) 523-6002

Mailing address

3322 Sandy Dr
Idaho Falls, ID 83401

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	SLP-1415 (ID)

Speech-Language Pathologist: 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, resonan…

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About NPI 1104910553

Lisa Rae McBride, M.S., CCC-SLP's National Provider Identifier is 1104910553, issued on Oct 2, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 8, 2007.