Lisa Lynne Petrass, MAEDCCC-SLP
Lisa Lynne Petrass, MAEDCCC-SLP is a Speech-Language Pathologist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
Practice location Address checks out
9811 Saratoga RdFort Wayne, IN 46804-7039
Phone: (260) 602-2924
Fax: (260) 432-1109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 22002846A (IN) |
|---|
Record details
| NPI number | 1245458827 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MAEDCCC-SLP |
| Sole proprietor | No |
| NPI enumerated | April 21, 2007 |
| Last updated in NPPES | July 8, 2007 |
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