ELIZABETH RENEE PATRICK (NPI# 1104070812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104070812 |
| Entity Type | Individual |
| Full Name | ELIZABETH RENEE PATRICK |
| Credential | MA CCC-SLP |
| Practice Address |
10110 Agora Pl Fort Wayne IN 46804-8710 |
| Practice Telephone | 2604368591 |
| Mailing Telephone | 2604368591 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22003502A | IN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194244301 | Elizabeth Patrick | Speech-Language Pathologist | 1600 Lindenthal Ave, Highland, IL 62249-2203 | 2017-09-19 |
| 1659643823 | Elizabeth A Patrick | Speech-Language Pathologist | 10901 Sw 102nd Ct, Miami, FL 33176-3472 | 2012-02-03 |
| 1457962920 | Elizabeth Ann Patrick | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2020-08-10 |
| 1558921221 | Elizabeth A Patrick | Dentist | 593 Eddy St, Providence, RI 02903-4923 | 2019-06-16 |
| 1275077216 | Elizabeth R Patrick | Social Worker | 8376 Six Forks Rd Ste 104, Raleigh, NC 27615-5095 | 2016-12-09 |
| 1306392790 | Elizabeth Patrick | Pharmacist | 2913 Us 70 Hwy, Black Mountain, NC 28711-9103 | 2016-08-26 |
| 1427154947 | Elizabeth Mcgough Patrick | Pharmacist | 3019 Coit Ave Ne, Grand Rapids, MI 49505-3376 | 2006-09-15 |
| 1063412393 | Elizabeth S Patrick | Pharmacist | 445 Winn Way, Decatur, GA 30030-1707 | 2005-07-28 |
| Street Address |
10110 AGORA PL |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-8710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477110674 | Ronalee Marie Rasmussen | Speech-Language Pathologist | 2831 Settlement Creek Run, Fort Wayne, IN 46804-6077 | 2019-05-22 |
| 1962964064 | Mary Richardson | Speech-Language Pathologist | 5930 Hallowell Pl, Fort Wayne, IN 46815-6214 | 2019-04-05 |
| 1528525490 | Katharine Gregg | Speech-Language Pathologist | 2006 Edith Ave, Fort Wayne, IN 46808-2288 | 2019-02-26 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1710409933 | Jacqueline Brooks | Speech-Language Pathologist | 7902 Crosshill Ct, Fort Wayne, IN 46825-3191 | 2017-07-10 |
| 1427503242 | Nicole Altherr | Speech-Language Pathologist | 5601 Coventry Lane, Fort Wayne, IN 46804-5435 | 2016-08-22 |
| 1104295021 | Courtney A Miller | Speech-Language Pathologist | 2427 Maples Rd, Fort Wayne, IN 46816-2427 | 2015-09-21 |
| 1326462441 | Mariela Ramos-hernandez | Speech-Language Pathologist | 9426 Lima Rd Ste A, Fort Wayne, IN 46818-8681 | 2014-02-10 |
| 1487097804 | Abby Crouse | Speech-Language Pathologist | 804 Owls Pt, Fort Wayne, IN 46825-2854 | 2013-04-16 |
| 1245576511 | Angela K Baxter | Speech-Language Pathologist | 6126 Groveland Dr, Fort Wayne, IN 46835-3715 | 2012-12-14 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on ELIZABETH RENEE PATRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.