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LISA FANFULIK CCC-SLP
NPI 1235304114
Speech-Language Pathologist in Maple Grove, MN

Active since April 23, 2008
9048 PEONY LN N, MAPLE GROVE, MN 55311(763) 416-9313(763) 416-4530 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Fanfulik Ccc-slp NPPES

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

LISA FANFULIK CCC-SLP (NPI 1235304114) is an individual speech-language pathologist provider in Maple Grove, Minnesota, licensed in Minnesota (8159) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1235304114
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISA FANFULIKCredential: CCC-SLP
Location Address9048 PEONY LN NMaple Grove, MN 55311-4417
Mailing Address9048 Peony Ln NMaple Grove, MN 55311-4417 · (763) 416-9313 · Fax (763) 416-4530
Phone(763) 416-9313
Fax(763) 416-4530
Sole ProprietorYes
Enumeration DateApril 23, 2008
✔ NPI 1235304114 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 MN · 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. 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.
9048 PEONY LN N, Maple Grove, MN 55311
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEANNE SCHOEN SCHUMACHER MA CCC-SLP
Speech-Language Pathologist
9048 PEONY LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 416-9313
MRS. AMY L.F. CHOUINARD MA CCC-SLP
Speech-Language Pathologist
9048 PEONY LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 416-9313
TRACI OHLENKAMP
Speech-Language Pathologist
9048 PEONY LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 416-9313
AMY SANDERS MA CCC-SLP
Speech-Language Pathologist
9048 PEONY LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 416-9311
CHRISTIE BISCHEL MS CCC-SLP
Speech-Language Pathologist
9048 PEONY LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 416-9313
STEPHANIE M HELGERSON MSE CCC-SLP
Speech-Language Pathologist
9048 PEONY LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 416-9313
AMANDA STEARNS
Speech-Language Pathologist
9048 PEONY LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 416-9313
JENNIFER WOESSNER
Speech-Language Pathologist
9048 PEONY LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 416-9313

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 Lisa Fanfulik's NPI number?

The NPI number for Lisa Fanfulik is 1235304114. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Lisa Fanfulik located?

Lisa Fanfulik practices at 9048 Peony Ln N, Maple Grove, MN 55311. The listed phone number is (763) 416-9313.

What is Lisa Fanfulik'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 Lisa Fanfulik was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.