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LISA LYNNE PETRASS M.A. ED. C.C.C.-SLP
NPI 1245458827
Speech-Language Pathologist in Fort Wayne, IN

Active since April 21, 2007
9811 SARATOGA RD, FORT WAYNE, IN 46804(260) 602-2924(260) 432-1109 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Lynne Petrass M.a. Ed. C.c.c.-slp NPPES

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

LISA LYNNE PETRASS M.A. ED. C.C.C.-SLP (NPI 1245458827) is an individual speech-language pathologist provider in Fort Wayne, Indiana, licensed in Indiana (22002846A) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1245458827
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISA LYNNE PETRASSCredential: M.A. ED. C.C.C.-SLP
Location Address9811 SARATOGA RDFort Wayne, IN 46804-7039
Mailing Address9811 Saratoga RdFort Wayne, IN 46804-7039 · (260) 602-2924 · Fax (260) 432-1109
Phone(260) 602-2924
Fax(260) 432-1109
Sole ProprietorNo
Enumeration DateApril 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245458827 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 · 22002846A
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.
9811 SARATOGA RD, 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 Lisa Petrass's NPI number?

The NPI number for Lisa Petrass is 1245458827. It was assigned to this individual provider in the NPPES registry on April 21, 2007.

Where is Lisa Petrass located?

Lisa Petrass practices at 9811 Saratoga Rd, Fort Wayne, IN 46804. The listed phone number is (260) 602-2924.

What is Lisa Petrass'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 Petrass was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.