Lisa Ceballo
Lisa Ceballo is a Qualified Speech Language Pathologist in Palmetto, Florida. Qualified in 2016, 10 years ago. Practices as a sole proprietor.
- Years since qualifying
- 10
- In the registry since
- 2016
Practice location Address checks out
3406 70th Ct EPalmetto, FL 34221-7381
Phone: (631) 766-7623
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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 |
|---|
Record details
| NPI number | 1891247516 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2016 |
| Last updated in NPPES | September 16, 2024 |
| Certification date | September 16, 2024 |
| Mailing address | 3406 70th Ct E, Palmetto, FL 34221-7381 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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