MEDICARE: AMANDA LISMAN MA CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	314335	CO

General Provider Information

NPI Number	:	1154172971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA LISMAN MA CCC-SLP

Provider Business Mailing Address
First Line	:	4150 BALSA CT
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2112
Country	:	US
Telephone Number	:	720-366-8363
Fax Number	:

Provider Business Practice Location Address
First Line	:	3835 14TH ST SW
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80537-6675
Country	:	US
Telephone Number	:	970-541-1507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2024
Last Update Date	:	03/29/2024

Similar Medicare Providers

1376558619 — WALGREEN CO
Practice Location Address:

205 E EISENHOWER BLVD
LOVELAND, CO
80537-3909

Practice Phone: 970-669-4444
Practice Fax:

1679643548 — WALGREEN CO
Practice Location Address:

1300 14TH ST SW
LOVELAND, CO
80537-6780

Practice Phone: 970-612-1125
Practice Fax: 970-612-1129

1922327691 — TREASURE BESSLER MSW
Practice Location Address:

1250 N WILSON AVE
LOVELAND, CO
80537-4461

Practice Phone: 970-494-4200
Practice Fax:

1881552248 — INGA VIDBERGS
Practice Location Address:

1250 N WILSON AVE
LOVELAND, CO
80537-4461

Practice Phone: 970-494-4200
Practice Fax:

1366309197 — MRS. NADIA FRANK
Practice Location Address:

172 MARCY DR
LOVELAND, CO
80537-3604

Practice Phone: 970-593-8747
Practice Fax:

1689671943 — DR. EUNICE CORDOBA M.D.
Practice Location Address:

933 16TH ST SW APT 1
LOVELAND, CO
80537-7095

Practice Phone: 970-800-9547
Practice Fax:

Directions to “ AMANDA LISMAN MA CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.