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

Individual provider Speech-Language Pathologist · NPI 1104910553

Mrs. Lisa Rae McBride, MS, CCC-SLP is a Speech-Language Pathologist in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
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

3446 Merlin
Idaho Falls, ID 83404
Phone: (208) 523-3662
Fax: (208) 523-6002
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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 · Licence SLP-1415 (ID)

Record details

NPI number1104910553
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 8, 2007

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