Active NPI
Lisa Marie McClure, M.S CCC/SLP
- Speech-Language Pathologist
- Easton, PA
National Provider Identifier
1922531979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL002861-L
- Practice address
- 2222 Sullivan Trail
Weston Group
Easton, PA 17901 - Phone
- (610) 991-2034
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL002861-L | PA | Primary |
Addresses
Primary practice location
2222 Sullivan Trail
Weston Group
Easton, PA 17901
Mailing address
58 Deerfield Dr
Pottsville, PA 17901-4038
Phone (570) 617-6860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL002861-L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1922531979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 DEERFIELD DR",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179014038",
"telephone_number": "570-617-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRAIL",
"address_2": "WESTON GROUP",
"city": "EASTON",
"state": "PA",
"postal_code": "17901",
"telephone_number": "610-991-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "M.S CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL002861-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.