Lisa Mary Adamson, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Mountain Home, ID
NPI 1497921035 · NPPES record last updated May 4, 2008
Key facts
- NPI
- 1497921035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP-1220 (ID)
- Practice address
- 955 NE Union St
Mountain Home, ID 83647-4803 - Phone
- (208) 587-6156
- NPI assigned
- May 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-1220 | ID | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1220 | ID | Yes |
Addresses
Primary practice location
955 NE Union St
Mountain Home, ID 83647-4803
Mailing address
955 NE Union St
Mountain Home, ID 83647-4803
Phone (208) 587-6156
Other providers in Mountain Home, ID
- Dandy Rae Aaron
- Erin Acarregui
- Julie M Acarregui
- Gail Brent Adams
- Neil D Adamson
- Advanced Therapy Care PLLC
- Advanced Therapy Care, PLLC
- Albertsons LLC
- Alexander Drug Incorporated
All providers in Mountain Home, ID · Speech-Language Pathologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2008. 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.