Elizabeth Renee Patrick, MA CCC-SLP
NPI #1104070812 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1104070812
- Entity Type
- Individual
- Name
- Elizabeth Renee Patrick, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Nov 7, 2008
- Last Updated
- Nov 7, 2008
Practice Location
- Address
- 10110 AGORA PL
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-8710
- Phone
- (260) 436-8591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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