Individual provider · Type 1 NPI

Lisa Jean Wise, MA CCC SLP

Speech-Language Pathologist · Vandalia, MO

NPI number 1316072903 Active

Practice location

2200 W Highway 54, Van-Far R-1 School District
Vandalia, MO 63382-1130

Fax (573) 594-2878

Mailing address

4398 Highway W
Vandalia, MO 63382-4408

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X2002013175 (MO)

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 1316072903

Lisa Jean Wise, MA CCC SLP's National Provider Identifier is 1316072903, issued on Feb 22, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Vandalia, MO. The record was last updated on Sep 21, 2007.