Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003192766 Individual Practitioner Female Practitioner

Lisa Ilene Mickle , SLP, CCC

Speech-Language Pathologist • Dix Hills, NY

Professional Overview & Biography Verified Profile Summary

Lisa Mickle, SLP, CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Dix Hills, NY. Practice services are available at 525 HALF HOLLOW RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

525 Half Hollow Rd

Dix Hills, NY 117465828

Telephone 6315923000
Associated Practice Facility / Clinic
🏢 Half Hollow Hills Csd Facility NPI 1407982465

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dix Hills, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
81 Specialists

Practicing in Dix Hills, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 005887-1

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

1 Associated Practitioners
Abby Chibnik

Speech-Language Pathologist

NPI 1710256672

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2011

Registered at 525 HALF HOLLOW RD, DIX HILLS, NY 117465828 (Tel: 6315923000)

📍
Updated Business Mailing Address October 26, 2011

Registered at 525 HALF HOLLOW RD, DIX HILLS, NY 117465828 (Tel: 6315923300)

👤
Provider Name / Credentials Updated October 26, 2011

Recorded as LISA MICKLE, SLP,CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2011

Speech-Language Pathologist (License #005887-1 in NY)

🟢
Initial NPI Registration & Enumeration October 26, 2011

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: 1003192766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2011
Last Update: October 26, 2011
Sole Proprietor: No

Mailing Address

525 Half Hollow Rd

Dix Hills, NY 117465828

Phone: 6315923300

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.