Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandra Rae Lertola, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1467068403

Alexandra Rae Lertola, MSCCC-SLP is a Speech-Language Pathologist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020

Practice location Address checks out

53940 Carmichael Dr
South Bend, IN 46635-1564
Phone: (574) 335-6212
Fax: (574) 335-0809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22007598A (IN)

Record details

NPI number1467068403
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020

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