Provider Demographics
NPI:1346054202
Name:DELANY, LISA SPIEGEL (ASHA)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:SPIEGEL
Last Name:DELANY
Suffix:
Gender:F
Credentials:ASHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33668 SEA POINT DR
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-1935
Mailing Address - Country:US
Mailing Address - Phone:949-533-8886
Mailing Address - Fax:
Practice Address - Street 1:33668 SEA POINT DR
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-1935
Practice Address - Country:US
Practice Address - Phone:949-533-8886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5575235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist