Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Michelle Penk, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1265766240

Lisa Michelle Penk, MS, CCC-SLP is a Speech-Language Pathologist in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

8549 Madison Ave
Indianapolis, IN 46227-6153
Phone: (317) 881-9164
Fax: (317) 887-4060
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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 22004846A (IN)

Record details

NPI number1265766240
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 24, 2009
Last updated in NPPESSeptember 24, 2009

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