Most Relevant Information
Provider Data
| NPI Number: | 1003006305 |
| Provider Name: | LISA KAY ANDERSON CCC/SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 14915 |
Most Important Dates
| Enumeration Date: | 08/01/2007 |
| Last Updated: | 08/01/2007 |
Provider Practice Location
1201 E 15TH ST
SUITE 304
PLANO
TX
750746238
Practice Location Phone/Fax
| Phone: | 9724240148 |
| Fax: | 9724225275 |
Provider Mailing Location
1201 E 15TH ST
SUITE 304
PLANO
TX
750746238
Provider Mailing Phone/Fax
| Phone: | 9724240148 |
| Fax: | 9724225275 |