Individual provider · Type 1 NPI

Lisa Jane Fullenkamp, MA, CCC-SLP

Speech-Language Pathologist · Council Bluffs, IA

NPI number 1104082205 Active

Practice location

3000 Risen Son Blvd
Council Bluffs, IA 51503-1911

Call (712) 366-0286 Map

Fax (712) 366-0277

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X01568 (IA)

Speech-Language Pathologist: 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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1104082205

Lisa Jane Fullenkamp, MA, CCC-SLP's National Provider Identifier is 1104082205, issued on Jul 29, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Council Bluffs, IA. The record was last updated on Jul 29, 2008.