Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA JANE FULLENKAMP, MA, CCC-SLP
ActiveLISA JANE FULLENKAMP, MA, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in COUNCIL BLUFFS, Iowa. NPI 1104082205 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · COUNCIL BLUFFS, IA
Registration Details
- NPI Number
- 1104082205
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2008 (18.002471019042 yrs)
- Last Updated
- Jul 29, 2008
- License
-
01568 (IA)
Practice Information
- Address
-
3000 RISEN SON BLVDCOUNCIL BLUFFS, IA, 515031911Browse IA providers · Browse ZIP 51503
- Phone
- 7123660286
- Fax
- 7123660277
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in COUNCIL BLUFFS, IA
| Name | Credential | NPI |
|---|---|---|
| MS. AMY BETH MEINZER | MS, CCC-SLP | 1649433095 |
| MRS. DOREEN DIANN JAMES | MA, CCC-SLP | 1972750958 |
| MRS. JESSIE LYNN DERBY | M.S. SLP | 1770899106 |
| TERESA A JOHNSEN | CCC-SLP | 1689937864 |
| CHRISTY TOLEVSKI | CCC-SLP | 1700302957 |
| JOVANNA LYNN BALQUIER | — | 1992267520 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.