Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Beth Trivison, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1285913046

Lisa Beth Trivison, CCC-SLP is a Speech-Language Pathologist in Camillus, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

300 Sanderson Dr
Camillus, NY 13031-1600
Phone: (315) 487-4698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 009685 (NY)

Record details

NPI number1285913046
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 11, 2011
Last updated in NPPESAugust 11, 2011

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