Lisa Lynne Petrass, M.A. ED. C.C.C.-SLP
NPI #1245458827 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1245458827
- Entity Type
- Individual
- Name
- Lisa Lynne Petrass, M.A. ED. C.C.C.-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. ED. C.C.C.-SLP
- Enumeration Date
- Apr 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9811 SARATOGA RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-7039
- Phone
- (260) 602-2924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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