Individual
LISETTE DANIELLE BOAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 85027-2725
(602) 808-9912
Mailing address
1831 W ROSE GARDEN LN STE 4, PHOENIX, AZ 85027-2725
(602) 808-9912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP11658
AZ
Other
Enumeration date
05/07/2015
Last updated
09/26/2024
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