LISA FULLENKAMP, MA, CCC-SLP
Speech-Language Pathologist
Active
Individual
NPI: 1104082205
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | 01568 (IA) |
Frequently Asked Questions
NPI 1104082205 is the National Provider Identifier for LISA FULLENKAMP, MA, CCC-SLP, a Speech-Language Pathologist provider located in Council Bluffs, IA. This NPI was enumerated on July 29, 2008.
LISA FULLENKAMP, MA, CCC-SLP practices at 3000 RISEN SON BLVD, Council Bluffs, IA 51503.
Quick Facts
- NPI
- 1104082205
- Type
- Individual
- Enumerated
- Jul 29, 2008
- Last Updated
- Jul 29, 2008
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