Lisa Fanfulik, CCC-SLP
NPI 1235304114 · Speech-Language Pathologist · Maple Grove, MN
Lisa Fanfulik, CCC-SLP is a Speech-Language Pathologist provider in Maple Grove, MN (NPI 1235304114).
Provider details
- NPI number
- 1235304114
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8159 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2008-04-23
Frequently asked questions
- What is Lisa Fanfulik's NPI number?
- Lisa Fanfulik's National Provider Identifier (NPI) is 1235304114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Fanfulik's specialty?
- Lisa Fanfulik is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Lisa Fanfulik located?
- Lisa Fanfulik's practice location on file with NPPES is 9048 Peony Ln N, Maple Grove, MN 55311-4417.
- What is Lisa Fanfulik's phone number?
- The practice phone number listed in the NPPES registry for Lisa Fanfulik is (763) 416-9313.
- Is Lisa Fanfulik's NPI active?
- Yes — Lisa Fanfulik's NPI (1235304114) is active in the NPPES registry as of the last update on 2008-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.