ELIZABETH RENEE PATRICK MA CCC-SLP
NPI 1104070812
Speech-Language Pathologist in Fort Wayne, IN

Q: What is Elizabeth Patrick's NPI number?

The NPI number for Elizabeth Patrick is 1104070812. It was assigned to this individual provider in the NPPES registry on November 7, 2008.

Q: What is Elizabeth Patrick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Patrick was last updated on November 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2008

10110 AGORA PL, FORT WAYNE, IN 46804(260) 436-8591 Get Directions Write a Review

NPPES record last updated: November 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elizabeth Renee Patrick Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH RENEE PATRICK MA CCC-SLP (NPI 1104070812) is an individual speech-language pathologist provider in Fort Wayne, Indiana, licensed in Indiana (22003502A) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1104070812

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameELIZABETH RENEE PATRICKCredential: MA CCC-SLP

Location Address10110 AGORA PLFort Wayne, IN 46804-8710

Mailing Address10110 Agora PlFort Wayne, IN 46804-8710 · (260) 436-8591

Phone(260) 436-8591

Sole ProprietorYes

Enumeration DateNovember 7, 2008

✔ NPI 1104070812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in IN · 22003502A

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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

10110 AGORA PL, Fort Wayne, IN 46804

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Patrick's NPI number?

The NPI number for Elizabeth Patrick is 1104070812. It was assigned to this individual provider in the NPPES registry on November 7, 2008.

Where is Elizabeth Patrick located?

Elizabeth Patrick practices at 10110 Agora Pl, Fort Wayne, IN 46804. The listed phone number is (260) 436-8591.

What is Elizabeth Patrick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Patrick was last updated on November 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.