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

Mrs. Lisa Jean Wise, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1316072903

Mrs. Lisa Jean Wise, MACCCSLP is a Speech-Language Pathologist in Vandalia, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

2200 W Highway 54 Van-Far R-1 School District
Vandalia, MO 63382-1130
Phone: (573) 594-6111
Fax: (573) 594-2878
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 2002013175 (MO)

Record details

NPI number1316072903
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorNo
NPI enumeratedFebruary 22, 2007
Last updated in NPPESSeptember 21, 2007

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