Lisette Danielle Boal, MS, CCC-SLP - Speech-Language Pathologist in Phoenix, AZ

Lisette Danielle Boal, MS, CCC-SLP is a Speech-language Pathologist based in Phoenix, Arizona. Lisette Danielle Boal is licensed to practice in Arizona (license number SLP11658) and her current practice location is 1831 W Rose Garden Ln Ste 4, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 808-9912.

NPI number for Lisette Danielle Boal is 1053799320 and her current mailing address is 1831 W Rose Garden Ln Ste 4, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053799320.

Contact Information

Lisette Danielle Boal, MS, CCC-SLP
1831 W Rose Garden Ln Ste 4,
Phoenix, AZ 85027-2725
(602) 808-9912
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLisette Danielle Boal
GenderFemale
SpecialitySpeech-language Pathologist
Location1831 W Rose Garden Ln Ste 4, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053799320
  • Provider Enumeration Date: 05/07/2015
  • Last Update Date: 09/26/2024

Medical Identifiers

Medical identifiers for Lisette Danielle Boal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053799320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SLP11658 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisette Danielle Boal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisette Danielle Boal, MS, CCC-SLP
1831 W Rose Garden Ln Ste 4,
Phoenix, AZ 85027-2725

Ph: (602) 808-9912
Lisette Danielle Boal, MS, CCC-SLP
1831 W Rose Garden Ln Ste 4,
Phoenix, AZ 85027-2725

Ph: (602) 808-9912

Reviews and Comments


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