Mcbride, Lisa Rae
Mcbride, Lisa Rae is an sole proprietor health care provider with primary practice located at 3446 Merlin , Idaho Falls ID 83404. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mcbride, Lisa Rae can be contacted via phone (208) 523-3662.Contact Information
Primary practice address
3446 Merlin
Idaho Falls ID 83404
Phone: (208) 523-3662
Fax: (208) 523-6002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-1415 | Idaho |
Profile Details
| NPI number | 1104910553 |
|---|---|
| LBN Legal business name | Mcbride, Lisa Rae |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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