Lisa Fanfulik in Maple Grove - Speech-language Pathologist
Lisa Fanfulik - NPI 1235304114
Lisa Fanfulik is a Speech-language Pathologist in Maple Grove, Minnesota. Lisa Fanfulik practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lisa Fanfulik is 1235304114. The last update date is 2008-04-23.
Lisa Fanfulik's current location address is 9048 Peony Ln N, Maple Grove, Minnesota. You can contact this provider via phone number 7634169313 and fax number 7634164530. The mailing address for Lisa Fanfulik is 9048 Peony Ln N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Fanfulik |
|---|---|
| Address | 9048 Peony Ln N, Maple Grove, Minnesota |
| Phone Number | 7634169313 |
| Fax Number | 7634164530 |
| Sole Proprietor | Y |
| Credentials | CCC-SLP |
NPI Number Detail
| NPI Number | 1235304114 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 9048 Peony Ln N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553114417 |
| Phone Number | 7634169313 |
| Fax Number | 7634164530 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 8159 |
|
Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
|
Post Comment/ Review Below
What is the Lisa Fanfulik's 1235304114?
The Lisa Fanfulik's NPI (National Provider Identifier) Number is 1235304114. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lisa Fanfulik?
The Lisa Fanfulik is situated at 9048 Peony Ln N, in the city of Maple Grove, state of MN, with the zip code 553114417.
What is Lisa Fanfulik's area of expertise and its corresponding taxonomy classification?
The Lisa Fanfulik's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lisa Fanfulik receive its 1235304114 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Fanfulik was assigned its 1235304114 by the Centers for Medicare & Medicaid Services on 2008-04-23.
As of what date was the information regarding Lisa Fanfulik, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Fanfulik, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-23.
NPI Number: 1366449282
Address: Po Box 1101, Mount Airy, NC
NPI Number: 1760482517
Address: 1823 College Ave, Manhattan, KS