Provider Demographics
NPI:1346372364
Name:YOST, LISA M (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:M
Last Name:YOST
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8149 MONROVIA ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2728
Mailing Address - Country:US
Mailing Address - Phone:913-744-0555
Mailing Address - Fax:913-432-2901
Practice Address - Street 1:8149 MONROVIA ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2728
Practice Address - Country:US
Practice Address - Phone:913-744-0555
Practice Address - Fax:913-432-2901
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1296235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist