Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Ceballo

Individual provider Speech-Language Pathologist · NPI 1891247516

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 E
Palmetto, FL 34221-7381
Phone: (631) 766-7623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1891247516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2016
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address3406 70th Ct E, Palmetto, FL 34221-7381

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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