Provider Demographics
NPI:1467262154
Name:SOIVE, LISA ANN (SLPA)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:SOIVE
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-5393
Mailing Address - Country:US
Mailing Address - Phone:509-989-4208
Mailing Address - Fax:
Practice Address - Street 1:1701 S CLODFELTER RD
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338-1266
Practice Address - Country:US
Practice Address - Phone:509-989-4208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA615802962355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant