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

Elizabeth Renee Patrick, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1104070812

Elizabeth Renee Patrick, MACCC-SLP is a Speech-Language Pathologist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2008

Practice location Address checks out

10110 Agora Pl
Fort Wayne, IN 46804-8710
Phone: (260) 436-8591
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 22003502A (IN)

Record details

NPI number1104070812
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedNovember 7, 2008
Last updated in NPPESNovember 7, 2008
Mailing address10110 Agora Pl, Fort Wayne, IN 46804-8710

Other providers in Fort Wayne