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

Individual provider Speech-Language Pathologist · NPI 1164960092

Mrs. Lisa Kindred, MS, CCC-SLP is a Qualified Speech Language Pathologist in Mankato, Minnesota. Qualified in 2004, 22 years ago. Practices as a sole proprietor.

Years since qualifying
22
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

30 Hensonshire Ct
Mankato, MN 56001-9350
Phone: (507) 469-8780
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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 number1164960092
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 12, 2017
Last updated in NPPESFebruary 12, 2017

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

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