Lisa Rae, M.A. CCC-SLP
NPI 1205966397 · Speech-Language Pathologist · Lake Forest, CA
Lisa Rae, M.A. CCC-SLP is a Speech-Language Pathologist provider in Lake Forest, CA (NPI 1205966397).
Provider details
- NPI number
- 1205966397
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SP12333 (CA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.