MRS. LISA JEAN WISE MA CCC SLP
NPI 1316072903
Speech-Language Pathologist in Vandalia, MO

Active since February 22, 2007
2200 W HIGHWAY 54, VAN-FAR R-1 SCHOOL DISTRICT, VANDALIA, MO 63382(573) 594-6111(573) 594-2878 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Jean Wise Ma Ccc Slp NPPES

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

MRS. LISA JEAN WISE MA CCC SLP (NPI 1316072903) is an individual speech-language pathologist provider in Vandalia, Missouri, licensed in Missouri (2002013175) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1316072903
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. LISA JEAN WISECredential: MA CCC SLP
Location Address2200 W HIGHWAY 54, VAN-FAR R-1 SCHOOL DISTRICTVandalia, MO 63382-1130
Mailing Address4398 Highway WVandalia, MO 63382-4408 · (573) 721-5568
Fax(573) 594-2878
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateSeptember 21, 2007
NPI 1316072903 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 MO · 2002013175
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.
2200 W HIGHWAY 54, Vandalia, MO 63382

Other Identifiers 1

Medicaid467477907MO

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 Wise's NPI number?

The NPI number for Lisa Wise is 1316072903. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Lisa Wise located?

Lisa Wise practices at 2200 W Highway 54 Van-Far R-1 School District, Vandalia, MO 63382. The listed phone number is (573) 594-6111.

What is Lisa Wise'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 Wise was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.