MRS. Lisa Rae Mcbride, M.S., CCC-SLP
NPI #1104910553 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1104910553
- Entity Type
- Individual
- Name
- MRS. Lisa Rae Mcbride, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3446 MERLIN
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 523-3662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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