Lisa Fratesi Ivy in University - Speech-language Pathologist
Lisa Fratesi Ivy - NPI 1285827493
Lisa Fratesi Ivy is a Speech-language Pathologist in University, Mississippi. Lisa Fratesi Ivy practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lisa Fratesi Ivy is 1285827493. The last update date is 2012-10-22.
Lisa Fratesi Ivy's current location address is 206 George Hall, Rebel Drive, University, Mississippi. You can contact this provider via phone number 6629155291 and fax number 6629157263. The mailing address for Lisa Fratesi Ivy is 206 George Hall, Rebel Drive, University, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Fratesi Ivy |
|---|---|
| Address | 206 George Hall, Rebel Drive, University, Mississippi |
| Phone Number | 6629155291 |
| Fax Number | 6629157263 |
| Sole Proprietor | Y |
| Credentials | M.S., CCC/ |
NPI Number Detail
| NPI Number | 1285827493 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2012-10-22 |
Provider Mailing Address Detail
| Address | 206 George Hall, Rebel Drive |
|---|---|
| City | University |
| State | Mississippi (MS) |
| Post Code | 386778800 |
| Phone Number | 6629155291 |
| Fax Number | 6629157263 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | S2411 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3275793 | MS | -- |
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What is the Lisa Fratesi Ivy's unique identification number?
The Lisa Fratesi Ivy has been assigned the NPI (National Provider Identifier) Number 1285827493 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Lisa Fratesi Ivy is geographically located?
The Lisa Fratesi Ivy is physically situated at the following location: 206 George Hall, Rebel Drive, University, MS, 386778800.
What is Lisa Fratesi Ivy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Fratesi Ivy is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
On what date did the Lisa Fratesi Ivy receive its 1285827493 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Fratesi Ivy was assigned its 1285827493 by the Centers for Medicare & Medicaid Services on 2007-08-21.
When was the information related to Lisa Fratesi Ivy most recently updated or refreshed?
The details pertaining to the Lisa Fratesi Ivy, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-22.
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