MRS. LISA HALES BROGDON MSCCC-SLP NPI 1508982307

NPI Information

  • NPI: 1508982307
  • Provider Name: MRS. LISA HALES BROGDON, MS,CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 8031 US BUS HWY 70W
    CLAYTON, NC
    ZIP 27520
  • Phone: (919) 630-9040

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NPI Details

MRS. Lisa Hales Brogdon, MS,CCC-SLP is a speech language pathologist in Clayton, NC. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MRS. Lisa Hales Brogdon, MS,CCC-SLP NPI is 1508982307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8031 US BUS HWY 70W
CLAYTON, NC
ZIP 27520-807
Phone: (919) 630-9040
Fax: (919) 553-3836

The enumeration date for this NPI number is 3/22/2007 and was last updated on 12/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist3916NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17411112MEDICAIDNORTH CAROLINA
210240OTHERNORTH CAROLINABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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