LISA FRATESI IVY M.S., CCC/SLP
NPI 1285827493
Speech-Language Pathologist in University, MS

Active since August 21, 2007
206 GEORGE HALL, REBEL DRIVE, UNIVERSITY, MS 38677(662) 915-5291(662) 915-7263 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Fratesi Ivy M.s., Ccc/slp NPPES

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

LISA FRATESI IVY M.S., CCC/SLP (NPI 1285827493) is an individual speech-language pathologist provider in University, Mississippi, licensed in Mississippi (S2411) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1285827493
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISA FRATESI IVYCredential: M.S., CCC/SLP
Location Address206 GEORGE HALL, REBEL DRIVEUniversity, MS 38677-8800
Mailing Address206 George Hall, Rebel DriveUniversity, MS 38677-8800 · (662) 915-5291 · Fax (662) 915-7263
Fax(662) 915-7263
Sole ProprietorYes
Enumeration DateAugust 21, 2007
Last NPPES UpdateOctober 22, 2012
NPI 1285827493 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 MS · S2411
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.
206 GEORGE HALL, REBEL DRIVE, University, MS 38677

Other Identifiers 1

Medicaid03275793MS

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 Ivy's NPI number?

The NPI number for Lisa Ivy is 1285827493. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Where is Lisa Ivy located?

Lisa Ivy practices at 206 George Hall, Rebel Drive, University, MS 38677. The listed phone number is (662) 915-5291.

What is Lisa Ivy'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 Ivy was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.