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

Mrs. Lisa Ilene Mickle, SLP, CCC

Individual provider Speech-Language Pathologist · NPI 1003192766

Mrs. Lisa Ilene Mickle, SLP, CCC is a Speech-Language Pathologist in Dix Hills, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

See every abbreviation used in this directory →

Practice location Address checks out

525 Half Hollow Rd
Dix Hills, NY 11746-5828
Phone: (631) 592-3000
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 005887-1 (NY)

Record details

NPI number1003192766
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP , CCC
Sole proprietorNo
NPI enumeratedOctober 26, 2011
Last updated in NPPESOctober 26, 2011

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