Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053799320 Individual Practitioner Female Practitioner

Lisette Danielle Boal , MS, CCC-SLP

Speech-Language Pathologist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Lisette Boal, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Phoenix, AZ. Practice services are available at 1831 W ROSE GARDEN LN STE 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1831 W Rose Garden Ln Ste 4

Phoenix, AZ 850272725

Telephone 6028089912
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
942 Specialists

Practicing in Phoenix, AZ (4584 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kenneth Holt

Behavior Technician

NPI 1013879220
Renee Dimas

Behavior Technician

NPI 1033063508
Kaitlyn Finnerty , MS, OTR, L

Occupational Therapist

NPI 1033798830

Master of Science, Occupational Therapist Registered, L

Kayla De Szendeffy , OTR, L

Occupational Therapist

NPI 1063078152

Occupational Therapist Registered, L

Phoebe Aroesty , CF-SLP

Speech-Language Pathologist

NPI 1063290435

Clinical Fellow in Speech-Language Pathology

Danielle Redding , OTR, L

Occupational Therapist

NPI 1073099610

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 26, 2024

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

📍
Updated Business Mailing Address September 26, 2024

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

👤
Provider Name / Credentials Updated September 26, 2024

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

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

Speech-Language Pathologist (License #SLP11658 in AZ)

NPI Profile Active May 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2015

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

📍
Updated Business Mailing Address May 11, 2015

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

👤
Provider Name / Credentials Updated May 11, 2015

Recorded as LISETTE MICHAELS

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

Speech-Language Pathologist (License #1413 in ND)

🟢
Initial NPI Registration & Enumeration May 07, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

1831 W Rose Garden Ln Ste 4

Phoenix, AZ 850272725

Phone: 6028089912

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.