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Lisette Danielle Boal , MS, CCC-SLP

Speech-Language Pathologist β€’ Phoenix, AZ

Active NPI 1053799320 Individual Practitioner Female Practitioner
Practice location in NPPES

1831 W Rose Garden Ln Ste 4
Phoenix, AZ 850272725

Call 6028089912 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1831 W Rose Garden Ln Ste 4

Phoenix, AZ 850272725

Telephone 6028089912
Organization at the Same NPPES Address or Phone
North Valley Pediatric Therapy, Llc Facility NPI 1366899171

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Phoenix and Arizona

934 active clinicians are listed under Speech-Language Pathologist with a practice address in Phoenix, AZ (4,510 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

0.4% of these 934 clinicians have the CMS telehealth indicator.

1.7% of these 934 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP11658

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kaitlyn Finnerty , MS, OTR, L

Occupational Therapist

NPI 1033798830

Master of Science, Occupational Therapist Registered, L

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 26, 2024

Registered at 1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 850272725 (Tel: 6028089912)

πŸ“
Updated Business Mailing Address September 26, 2024

Registered at 1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 850272725 (Tel: 6028089912)

πŸ‘€
Provider Name / Credentials Updated September 26, 2024

Recorded as LISETTE BOAL, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2024

Speech-Language Pathologist (license number reported to NPPES: AZ SLP11658)

βœ…
NPI Profile Active May 11, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 11, 2015

Registered at 683 STATE AVE N, DICKINSON, ND 58601 (Tel: 6236984742)

πŸ“
Business Mailing Address (Initial Record) May 11, 2015

Registered at 683 STATE AVE N, DICKINSON, ND 58601 (Tel: 7014839400)

πŸ‘€
Provider Name / Credentials (Initial Record) May 11, 2015

Recorded as LISETTE MICHAELS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2015

Speech-Language Pathologist (license number reported to NPPES: ND 1413)

🟒
Initial NPI Registration & Enumeration May 07, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053799320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2015
Last Update: September 26, 2024
Sole Proprietor: No

Other Speech-Language Pathologists in Phoenix

All Speech-Language Pathologists in Phoenix

Mailing Address

1831 W Rose Garden Ln Ste 4

Phoenix, AZ 850272725

Phone: 6028089912

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.