| Doctor Name: | MS. LISA RENEE BLANKENSHIP |
| NPI Number: | 1972752442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 104134 |
| Business Practice Address: | 19411 Mckay Dr Suite 300 Humble, TX - 773385713 |
| Business Phone Number: | 2814462680 |
| Business Fax Number: | 2814462689 |
| Mailing Address: | 5034 Pine Cliff Dr, HOUSTON |
| State: | TX |
| Postal Code: | 770843130 |
| Phone Number: | 2817970536 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 01/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 104134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |