| Mrs Lisa Jean Wise, MA CCC SLP | |
|
2200 W Highway 54, Van-far R-1 School District, Vandalia, MO 63382-1130 | |
| (573) 594-6111 | |
| (573) 594-2878 |
| Full Name | Mrs Lisa Jean Wise |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2200 W Highway 54, Vandalia, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316072903 | NPI | - | NPPES |
| 467477907 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2002013175 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Jean Wise, MA CCC SLP 4398 Highway W, Vandalia, MO 63382-4408 Ph: (573) 721-5568 | Mrs Lisa Jean Wise, MA CCC SLP 2200 W Highway 54, Van-far R-1 School District, Vandalia, MO 63382-1130 Ph: (573) 594-6111 |
Linda Fay Witte, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 46232 Highway V, Vandalia, MO 63382 Phone: 573-594-6878 | |
Mrs. Jody L. Horner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2122 Audrain Road, Vandalia, MO 63882 Phone: 573-594-2731 |