MEDICARE: LISA ANNE CORBIT M.S., 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		AR

General Provider Information

NPI Number	:	1871879205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ANNE CORBIT M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	2918 HAWKINS DR
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-4802
Country	:	US
Telephone Number	:	501-279-9255
Fax Number	:	501-279-9257

Provider Business Practice Location Address
First Line	:	2918 HAWKINS DR
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-4802
Country	:	US
Telephone Number	:	501-279-9255
Fax Number	:	501-279-9257

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

Provider Enumeration Date	:	10/31/2011
Last Update Date	:	04/12/2026

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Directions to “ LISA ANNE CORBIT M.S., CCC-SLP” Practice Location

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