Healthcare Provider Details

I. General information

NPI: 1972459394
Provider Name (Legal Business Name): LISA RENEE DOYEA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 LOCH LOMOND DR BLDG K
PICO RIVERA CA
90660-2913
US

IV. Provider business mailing address

3032 ASSOCIATED RD UNIT 85
FULLERTON CA
92835-2355
US

V. Phone/Fax

Practice location:
  • Phone: 562-801-7372
  • Fax: --
Mailing address:
  • Phone: 562-242-4083
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number20857
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: