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MRS. LISA RAE MCBRIDE M.S., CCC-SLP
NPI 1104910553
Speech-Language Pathologist in Idaho Falls, ID

Active since October 02, 2006
3446 MERLIN, IDAHO FALLS, ID 83404(208) 523-3662(208) 523-6002 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Rae Mcbride M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA RAE MCBRIDE M.S., CCC-SLP (NPI 1104910553) is an individual speech-language pathologist provider in Idaho Falls, Idaho, licensed in Idaho (SLP-1415) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104910553
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. LISA RAE MCBRIDECredential: M.S., CCC-SLP
Location Address3446 MERLINIdaho Falls, ID 83404
Mailing Address3322 Sandy DrIdaho Falls, ID 83401 · (208) 604-1962 · Fax (208) 523-6002
Phone(208) 523-3662
Fax(208) 523-6002
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104910553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in ID · SLP-1415
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3446 MERLIN, Idaho Falls, ID 83404
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICKI NORTON HULET MS-CCCSLP
Speech-Language Pathologist
3446 MERLIN
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3662
CELEBRATION SPEECH, INC
Speech-Language Pathologist
3446 MERLIN
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3662
MRS. SHERI LISA ELKINGTON
Speech-Language Pathologist
3446 MERLIN
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mcbride's NPI number?

The NPI number for Lisa Mcbride is 1104910553. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Lisa Mcbride located?

Lisa Mcbride practices at 3446 Merlin, Idaho Falls, ID 83404. The listed phone number is (208) 523-3662.

What is Lisa Mcbride's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Lisa Mcbride was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.