Lisa Fratesi Ivy, M.S., CCC/SLP
NPI #1285827493 in University, Mississippi
Provider Information
- NPI Number
- 1285827493
- Entity Type
- Individual
- Name
- Lisa Fratesi Ivy, M.S., CCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC/SLP
- Enumeration Date
- Aug 21, 2007
- Last Updated
- Oct 22, 2012
Practice Location
- Address
- 206 GEORGE HALL, REBEL DRIVE
- City
- University
- State
- Mississippi
- ZIP Code
- 38677-8800
- Phone
- (662) 915-5291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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