IndividualActive
Alexandra Lertola, M.S. CCC-SLP
NPI 1467068403 · Speech-Language Pathologist · South Bend, IN
Provider details
- NPI number
- 1467068403
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 22007598A (IN)
Practice location
53940 Carmichael Dr
South Bend, IN 46635-1564
Phone: (574) 335-6212
Fax: (574) 335-0809
Mailing address
53940 Carmichael Dr
South Bend, IN 46635-1564
Registry dates
- Enumerated
- 2020-09-16
- Last updated
- 2020-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.