Lisby Ibarra, SLP-ASSISTANT
Individual provider Active NPI Speech-Language Assistant · Dallas, TX
NPI 1386103752 · NPPES record last updated Mar 15, 2019
Key facts
- NPI
- 1386103752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 40994 (TX)
- Practice address
- 4300 Sigma Rd Ste 130
Dallas, TX 75244-4445 - Phone
- (972) 352-0438
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40994 | TX | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 40994 | TX | Yes |
Addresses
Primary practice location
4300 Sigma Rd Ste 130
Dallas, TX 75244-4445
Mailing address
4300 Sigma Rd Ste 130
Dallas, TX 75244-4445
Other providers in Dallas, TX
- Nicholas Ibanez
- Dulce Adriana Ibarra de Salazar
- Aurelio Ibarra
- Brenda R Ibarra
- Juan Antonio Ibarra
- Michael Aaron Ibarra
- Nikole Ibarra
- Ehireme Anthony Ibazebo
- Chimkama Ngozi Ibe
- Judith K Ibe
All providers in Dallas, TX · Speech-Language Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.