Provider Demographics
NPI:1689931701
Name:NEAL, LISA KAY (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:KAY
Last Name:NEAL
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1295 SEYMOUR DR STE 111
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0953
Mailing Address - Country:US
Mailing Address - Phone:214-797-1243
Mailing Address - Fax:
Practice Address - Street 1:1295 SEYMOUR DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0953
Practice Address - Country:US
Practice Address - Phone:214-797-1243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15140235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist